KASSANDRA MCMILLAN
NPI 1043860117
Counselor - Professional in Elgin, IL

Q: What is Kassandra Mcmillan's NPI number?

The NPI number for Kassandra Mcmillan is 1043860117. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Q: What is Kassandra Mcmillan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since September 19, 2019

1845 GRANDSTAND PL, ELGIN, IL 60123(847) 695-0484 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2020, May 29, 2020, Sep 19, 2019 (3 updates tracked since 2019).

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About Kassandra Mcmillan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSANDRA MCMILLAN (NPI 1043860117) is an individual professional provider in Elgin, Illinois, licensed in Illinois (178016162) and active in the NPI registry since September 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043860117

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKASSANDRA MCMILLAN

Location Address1845 GRANDSTAND PLElgin, IL 60123-6603

Mailing Address1845 Grandstand PlElgin, IL 60123-6603

Phone(847) 695-0484

Sole ProprietorNo

Enumeration DateSeptember 19, 2019

Last NPPES UpdateOctober 5, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2020

✔ NPI 1043860117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 178016162

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 178016162 (IL)

Also ListedRehabilitation PractitionerTaxonomy 225400000X

1845 GRANDSTAND PL, Elgin, IL 60123

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Secondary Practice Locations 2

Location 12025 Washington StWaukegan, IL 60085-5131 · Phone (847) 360-1065

Location 212 Health Services DrDekalb, IL 60115-9637 · Phone (815) 756-4875

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALEY ELIZABETH VON HOLST

Community Health Worker