Jennifer L Millholland, M.S.,CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

263-154 Issued in WI

Practice address

2817 New Pinery Rd
Suite 103
Portage, WI 53901-9257

Phone

(608) 745-6290

NPI assigned

Oct 31, 2007

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

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 and National Provider Directory roles.

• Divine Savior Healthcare

  • Rural Acute Care Hospital
  • Portage, WI
  • NPI 1346543246
  NPD (past)
• Divine Savior Healthcare

  • Rural Acute Care Hospital
  • Portage, WI
  • NPI 1700189602
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1992984454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 MESA RD",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537162912",
            "telephone_number": "608-221-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "address_2": "SUITE 103",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019257",
            "telephone_number": "608-745-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLHOLLAND",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "M.S.,CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "263-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Kay Metzler
• MH Health Care Services, PC
• Midstate Medical Express
• Cheryl Millard, LCSW
• Jocelyn R Miller, PHD
• Vasilisa Mironovich, M.D.
• Daniel Joseph Moore, PHARMD
• Rachel Morris
• Robyn Morris, CCC SLP
• Bennett F Mortensen, MS, LPC

• Speech-Language Pathologist in Portage, WI
• Providers in Portage, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.