Active NPI
Amy Ashorn McMillan, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1962894154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 39752
- Practice address
- 300 Beardsley LN
Austin, TX 78746-4945 - Phone
- (512) 659-6064
- NPI assigned
- Feb 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 39752 | TX | Primary |
Addresses
Primary practice location
300 Beardsley LN
Austin, TX 78746-4945
Mailing address
3012 Red Bay Dr
Cedar Park, TX 78613-5559
Phone (512) 659-6064
Other practice location 1
2525 Wallingwood Dr
Building 8, Suite 800
Austin, TX 78746-6900
Phone (512) 981-5279
Other practice location 2
1221 W Ben White Blvd Ste 210A
Austin, TX 78704-7182
Phone (512) 960-4533
Other names 1
- Amy Ashorn
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Amy@amymcmillantherapy.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39752 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1962894154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 RED BAY DR",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786135559",
"telephone_number": "512-659-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BEARDSLEY LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787464945",
"telephone_number": "512-659-6064"
}
],
"practiceLocations": [
{
"address_1": "2525 Wallingwood Dr",
"address_2": "Building 8, Suite 800",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787466900",
"country_code": "US",
"telephone_number": "512-981-5279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1221 W Ben White Blvd Ste 210A",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787047182",
"country_code": "US",
"telephone_number": "512-960-4533",
"fax_number": "512-887-3970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMILLAN",
"first_name": "AMY",
"middle_name": "ASHORN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "39752",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Amy@amymcmillantherapy.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 Beardsley Ln",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787464945",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "ASHORN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.