Jason Roberts Millikan, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

171670 Issued in KY

Practice address

230 2ND St Ste 308
Henderson, KY 42420-3176

Phone

(270) 827-8671

NPI assigned

Jan 20, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1972040525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 W OBANNON ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371421",
            "telephone_number": "270-952-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 2ND ST STE 308",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203176",
            "telephone_number": "270-827-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIKAN",
        "first_name": "JASON",
        "middle_name": "ROBERTS",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "171670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Henderson, KY
• Providers in Henderson, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.