MR. MATTHEW DUANE MILLICAN (NPI# 1316480973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316480973 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW DUANE MILLICAN |
| Credential | MA, LPC |
| Practice Address |
123 Mcclure Ave Nampa ID 83651-2057 |
| Mailing Address |
1207 Sw 2nd Ave Ontario OR 97914-4512 |
| Practice Telephone | 2084613720 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-6347 | ID | Behavioral Health & Social Service Providers |
| Street Address |
123 MCCLURE AVE |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761491 | Bridges Behavioral Health LLC | Counselor | 16810 N Dartmouth Ave, Nampa, ID 83687-3028 | 2020-08-20 |
| 1891307815 | Pointview Counseling LLC | Counselor | 5700 E Franklin Rd Ste 220b, Nampa, ID 83687-7903 | 2020-08-20 |
| 1356959787 | Heidi Alyssa Stark | Counselor | 4024 Ivy Dr, Nampa, ID 83686-8852 | 2020-07-22 |
| 1639701345 | Melissa E Funston | Counselor | 1603 12th Ave Rd. Suite B, Nampa, ID 83686-8368 | 2020-02-11 |
| 1508414608 | Stacy Allyn Murray-williams | Counselor | 320 11th Ave S Ste 205, Nampa, ID 83651-5074 | 2019-08-31 |
| 1043867120 | Katie M Coffel | Counselor | 71 S Belhaven Way, Nampa, ID 83651-7612 | 2019-08-22 |
| 1477013191 | Intensive Healing Therapy, LLC. | Counselor | 10424 Duck Ln, Nampa, ID 83686-9174 | 2019-03-20 |
| 1174986905 | Kathy Edwards | Counselor | 1010 W Teton Ave, Nampa, ID 83686-9778 | 2016-03-30 |
| 1932590221 | Virginia Spackman | Counselor | 3904 E Flamingo Ave Ste 200, Nampa, ID 83687-3144 | 2015-02-09 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| Find all providers in NAMPA | ||||
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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.