LATINA MCMILLAN
NPI 1124972393
Counselor - Professional in Harvey, IL

Active since February 24, 2026PECOS Enrolled
14715 CAMPBELL AVE, HARVEY, IL 60426(773) 858-1989 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Latina Mcmillan NPPES

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

LATINA MCMILLAN (NPI 1124972393) is an individual professional provider in Harvey, Illinois, licensed in Illinois (180011890) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124972393
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLATINA MCMILLAN
Location Address14715 CAMPBELL AVEHarvey, IL 60426-1370
Mailing Address14715 Campbell AveHarvey, IL 60426-1370 · (773) 858-1989
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1124972393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180011890
14715 CAMPBELL AVE, Harvey, IL 60426

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latina Mcmillan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466910252
PECOS Enrollment IDI20260821003304
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Latina Mcmillan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1140 W 79TH ST
Chicago, IL 60620
  • Reassigned Medicare billing, Illinois enrollment
  • 132 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latina Mcmillan's NPI number?

The NPI number for Latina Mcmillan is 1124972393. It was assigned to this individual provider in the NPPES registry on February 24, 2026.

Where is Latina Mcmillan located?

Latina Mcmillan practices at 14715 Campbell Ave, Harvey, IL 60426. The listed phone number is (773) 858-1989.

What is Latina Mcmillan's specialty?

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

Is Latina Mcmillan enrolled in Medicare?

Yes. Latina Mcmillan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Latina Mcmillan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latina Mcmillan reassigns Medicare benefits to Friend Family Health Center Inc (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latina Mcmillan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Latina Mcmillan was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.