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MS. KIM M. MCMILLAN MA, LPC
NPI 1245534346
Counselor in Canton, GA

Active since January 04, 2011Opted out of Medicare · through Aug 14, 2026
154 LAKESIDE DRIVE, CANTON, GA 30115(404) 323-8933 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kim M. Mcmillan Ma, Lpc NPPES

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

MS. KIM M. MCMILLAN MA, LPC (NPI 1245534346) is an individual counselor in Canton, Georgia and active in the NPI registry since January 2011. She has opted out of Medicare through August 14, 2026.

NPPES Registry Identity

NPI1245534346
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. KIM M. MCMILLANCredential: MA, LPC
Location Address154 LAKESIDE DRIVECanton, GA 30115
Mailing Address248 Danburg CourtJasper, GA 30143 · (404) 323-8933
Phone(404) 323-8933
Sole ProprietorYes
Enumeration DateJanuary 4, 2011
Last NPPES UpdateOctober 1, 2014
✔ NPI 1245534346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
154 LAKESIDE DRIVE, Canton, GA 30115
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kim M. Mcmillan Ma, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 14, 2024 through August 14, 2026.

Opt-Out Effective DateAugust 14, 2024
Opt-Out In Effect ThroughAugust 14, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Kim Mcmillan's NPI number?

The NPI number for Kim Mcmillan is 1245534346. It was assigned to this individual provider in the NPPES registry on January 4, 2011.

Where is Kim Mcmillan located?

Kim Mcmillan practices at 154 Lakeside Drive, Canton, GA 30115. The listed phone number is (404) 323-8933.

What is Kim Mcmillan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kim Mcmillan enrolled in Medicare?

No. Kim Mcmillan has opted out of Medicare through August 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kim Mcmillan was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.