MS. KIMBERLY ANN MILAM LPC, NCC
NPI 1144741984
Counselor - Professional in Woodbridge, VA

Active since July 01, 2017
2200 OPITZ BLVD STE 340, WOODBRIDGE, VA 22191(540) 845-6940 Get Directions Write a Review

NPPES record last updated: August 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional
  • Opted-Out Medicare

About KIMBERLY MILAM

This page provides the complete NPI Profile along with additional information for Kimberly Milam, a provider established in Woodbridge, Virginia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1144741984 assigned on July 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 0701006901 (VA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1144741984 Verify this NPI
Provider Name
MS. KIMBERLY ANN MILAM LPC, NCC
Gender
Female
Entity Type
Individual
Location Address
2200 OPITZ BLVD STE 340 WOODBRIDGE, VA 22191
Location Phone
(540) 845-6940
Mailing Address
12038 STONEFORD DR WOODBRIDGE, VA 22192
Mailing Phone
(703) 987-0652
Is Sole Proprietor?
No
Enumeration Date
07-01-2017
Last Update Date
08-24-2017
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kimberly Milam opted out of Medicare effective on 08-22-2024 until 08-22-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
0701006901
License State
VA

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 08-22-2024

  • Opt-Out End Date: 08-22-2026

  • Eligible to Order and Refer? No

Reviews for MS. KIMBERLY ANN MILAM LPC, NCC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Mental Health)
2200 OPITZ BLVD STE 340
WOODBRIDGE, VA 22191

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144741984, enumerated as an "individual" on July 01, 2017.

The provider is located at 2200 OPITZ BLVD STE 340 WOODBRIDGE, VA 22191 and the phone number is (540) 845-6940.

Counselor with taxonomy code 101YP2500X and a focus in Professional.