Shanta Milner, MS, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7711 Issued in SC

Practice address

20 Crossview Dr
Simpsonville, SC 29680-7142

Phone

(864) 293-8123

NPI assigned

Feb 14, 2019

Last updated

Oct 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shante Kollock Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Creative Narrative Counseling & Coaching, LLC

  • Community/Behavioral Health Agency
  • Simpsonville, SC
  • NPI 1194425835
  NPD Authorized official
• South Carolina Dept of Mental Health Accounting Office

  dba Beckman Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, SC
  • NPI 1124135009
  NPD (past)

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1992261903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSVIEW DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807142",
            "telephone_number": "864-293-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSVIEW DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807142",
            "telephone_number": "864-293-8123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1547 Parkway",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296464081",
            "country_code": "US",
            "telephone_number": "864-229-7120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILNER",
        "first_name": "SHANTA",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421504",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3335",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTE",
            "last_name": "KOLLOCK",
            "credential": "MS, LPC, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jaime Marie Miller, LISW-CP
• Kanisha Fordham Miller
• Lisa B Miller, PHD, FNP-BC
• Maria Miller, LPC
• Jasmine Mills, RN, IBCLC
• Stephanie Milner
• Teresa Yvonne Mintz
• Minuteclinic Diagnostic South Carolina LLC
• Minuteclinic Diagnostic South Carolina LLC
• Minuteclinic Primary Care South Carolina LLC

• Professional Counselor in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.