Karmen Jo McMillan, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801092671 Issued in MI

Practice address

15 Truman St Apt 207
Croswell, MI 48422-1162

Phone

(586) 484-4285

NPI assigned

Oct 15, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Professional Counseling Center,P.C.Group PAC ID 1759370208, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Counseling Center,P.C.

  • Addiction (Substance Use Disorder) Counselor
  • Port Huron, MI
  • NPI 1225049760
  Medicare reassignment Care Compare group NPD
• Still Waters Christian Counseling Center, LLC

  • Clinical Social Worker
  • Croswell, MI
  • NPI 1619411386
  NPD Authorized official
• Renewal Christian Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Gratiot, MI
  • NPI 1174799209
  NPD (past)

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1982989497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 CAPITAL BLVD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361343",
            "telephone_number": "586-783-2950",
            "fax_number": "586-690-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TRUMAN ST APT 207",
            "city": "CROSWELL",
            "state": "MI",
            "postal_code": "484221162",
            "telephone_number": "586-484-4285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Superior St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480603838",
            "country_code": "US",
            "telephone_number": "810-984-4202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "KARMEN",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-15",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Kautz, PT, DPT
• Breeanna Kolowich
• Joann Landosky, LMSW
• Brian Linne
• Benjamin Martin Sr.
• Sherri Metevier
• Loretta A Mullally, MD
• Thomas S Mullally, MD
• Syvanna Lee Nantroup
• Ashley Marie Nelson, OTR/L

• Clinical Social Worker in Croswell, MI
• Providers in Croswell, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.