Active NPI
Deborah Ann McMillian, MSW, LCSW
- Mental Health Counselor
- Bloomington, IN
National Provider Identifier
1972616829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 34003928A
- Practice address
- 627 N. Morton St.
Suite 203
Bloomington, IN 47404-3778 - Phone
- (812) 339-9799
- Fax
- (812) 339-9799
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 34003928A | IN | Primary |
Addresses
Primary practice location
627 N. Morton St.
Suite 203
Bloomington, IN 47404-3778
Mailing address
627 N. Morton St.
Suite 203
Bloomington, IN 47404-3778
Phone (812) 339-9799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000215786 | Other | IN | ANTHEM BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003928A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972616829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 N. MORTON ST.",
"address_2": "SUITE 203",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043778",
"telephone_number": "812-339-9799",
"fax_number": "812-339-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 N. MORTON ST.",
"address_2": "SUITE 203",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043778",
"telephone_number": "812-339-9799",
"fax_number": "812-339-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLIAN",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "34003928A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000215786",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.