MS. KAREN EILEEN MCMILLAN (NPI# 1205050127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205050127 |
| Entity Type | Individual |
| Full Name | MS. KAREN EILEEN MCMILLAN |
| Credential | LCSW, LCADC |
| Practice Address |
212 Blue Ball Ave Elkton MD 21921-5222 |
| Practice Telephone | 4106206077 |
| Practice Fax Number | 4106206081 |
| Mailing Telephone | 4106206077 |
| Mailing Fax Number | 4106206081 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCA236 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 101YA0400X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376584581 | Karen Lynn Mcmillan | Physician Assistant | 1201 Broadrock Blvd, Richmond, VA 23249-0001 | 2006-06-09 |
| 1013520683 | Karen Mcmillan | Counselor | 525 E North St Ste B, Bradley, IL 60915-1186 | 2020-08-24 |
| 1194233627 | Karen Valentine Mcmillan | Registered Nurse | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2018-01-18 |
| 1831420181 | Karen E Mcmillan | Counselor | 118 W Heard St, Cleburne, TX 76033-3836 | 2010-01-27 |
| Street Address |
212 BLUE BALL AVE |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598892754 | Ats of Cecil County, LLC | Clinic/Center | 212 Blue Ball Ave, Elkton, MD 21921-5222 | 2007-02-27 |
| 1497232169 | Ats of Cecil County, LLC | Clinic/Center | 212 Blue Ball Ave, Elkton, MD 21921-5222 | 2018-07-25 |
| 1225426190 | Ats of Cecil County, Inc. | Clinic/Center | 212 Blue Ball Ave, Elkton, MD 21921-5222 | 2014-12-31 |
| 1760601439 | Patricia J Conrad | Licensed Practical Nurse | 212 Blue Ball Ave, Elkton, MD 21921-5222 | 2007-04-24 |
| 1902024250 | Vatina Lynn Gifford | Licensed Vocational Nurse | 212 Blue Ball Ave, Elkton, MD 21921-5222 | 2007-04-23 |
| 1780809319 | Linda Ruth Canning | Licensed Practical Nurse | 212 Blue Ball Ave, Elkton, MD 21921-5222 | 2007-04-17 |
| 1770707366 | Jennifer Anne Levens | Counselor | 212 Blue Ball Ave, Elkton, MD 21921-5222 | 2007-04-13 |
| 1013131044 | Tonia Casen Mcmillan | Counselor | 212 Blue Ball Ave, Elkton, MD 21921-5222 | 2007-04-12 |
| 1831313865 | Jennie Matterson | Counselor | 212 Blue Ball Ave, Elkton, MD 21921-5222 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285137885 | Lisa Joyce | Counselor | 953 W Pulaski Hwy Ste B, Elkton, MD 21921-4714 | 2018-03-10 |
| 1881193696 | Michael Thomas Foley | Counselor | 111 E Main St Ste B, Elkton, MD 21921-5996 | 2018-02-07 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1184992257 | Donna Maria Runkles | Counselor | 401 Bow St., Elkton, MD 21921 | 2011-12-05 |
| 1053508705 | Tammy Schouppe Asher | Counselor | 1275b W Pulaski Hwy, Elkton, MD 21921-4719 | 2007-09-26 |
| 1649737453 | Brantwood Fs LLC | Counselor | 1190 Augustine Herman Hwy, Elkton, MD 21921-8251 | 2019-02-28 |
| 1609346428 | Sara Hunt | Counselor | 953 W Pulaski Hwy, Elkton, MD 21921-4714 | 2018-12-05 |
| 1336619154 | Maia Michaels | Counselor | 953 W Pulaski Hwy, Elkton, MD 21921-4714 | 2018-12-05 |
| 1326518143 | Jeffrey Ibbetson | Counselor | 953 W Pulaski Hwy, Elkton, MD 21921-4714 | 2018-12-05 |
| 1861962680 | Katherine Sanders | Counselor | 953 W Pulaski Hwy, Elkton, MD 21921-4714 | 2018-12-05 |
| Find all providers in ELKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.