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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TINA MARIE MILAN LCSW
NPI 1225470081
Counselor - Mental Health in Shasta Lake, CA

Active since July 22, 2013PECOS Enrolled
4300 FORT PECK ST, SHASTA LAKE, CA 96019(530) 338-0087 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, Aug 12, 2022, Jan 12, 2020 and 1 more (4 updates tracked since 2017).

About Tina Marie Milan Lcsw NPPES

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

TINA MARIE MILAN LCSW (NPI 1225470081) is an individual mental health provider in Shasta Lake, California, licensed in California (LCSW88858) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1225470081
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA MARIE MILANCredential: LCSW
Location Address4300 FORT PECK STShasta Lake, CA 96019-9286
Mailing AddressPo Box 1423Shasta Lake, CA 96019-1423 · (530) 528-2342
Phone(530) 338-0087
Sole ProprietorYes
Enumeration DateJuly 22, 2013
Last NPPES UpdateSeptember 24, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1225470081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CA · LCSW88858✔ Licensed in CA · 88858✔ Licensed in CA · ASW35034
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 00279697 (CA)
4300 FORT PECK ST, Shasta Lake, CA 96019
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Other Names 1

Other Name (5)Tina Marie Fisher Tina Marie Standifer

Secondary Practice Locations 3

Location 1756 Rio StRed Bluff, CA 96080-3338 · Phone (832) 538-5274 · Fax (530) 690-5457
Location 222425 Sunbright AveRed Bluff, CA 96080-9741 · Phone (530) 528-2342
Location 3590 Antelope Blvd, Building B Suite 30Red Bluff, CA 96080-2474 · Phone (530) 529-9454 ext. 118 · Fax (530) 529-9456

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Marie Milan Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Tina Milan's NPI number?

The NPI number for Tina Milan is 1225470081. It was assigned to this individual provider in the NPPES registry on July 22, 2013. The provider is also known as Tina Marie Fisher Tina Marie Standifer.

Where is Tina Milan located?

Tina Milan practices at 4300 Fort Peck St, Shasta Lake, CA 96019. The listed phone number is (530) 338-0087.

What is Tina Milan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tina Milan enrolled in Medicare?

Yes. Tina Milan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Milan was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.