CHEVONNA MILLOY-BASS
NPI 1285807875
Counselor in Hattiesburg, MS

Q: What is Chevonna Milloy-bass's NPI number?

The NPI number for Chevonna Milloy-bass is 1285807875. It was assigned to this individual provider in the NPPES registry on April 4, 2008.

Q: What is Chevonna Milloy-bass's specialty?

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

Active since April 04, 2008PECOS Enrolled

103 S 19TH AVE, HATTIESBURG, MS 39401(601) 544-4641(601) 584-4053 Get Directions Write a Review

NPPES record last updated: April 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Chevonna Milloy-bass NPPES

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

CHEVONNA MILLOY-BASS (NPI 1285807875) is an individual counselor in Hattiesburg, Mississippi, licensed in Mississippi (1051) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1285807875

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCHEVONNA MILLOY-BASS

Location Address103 S 19TH AVEHattiesburg, MS 39401-6171

Mailing Address103 S 19th AveHattiesburg, MS 39401-6171

Phone(601) 544-4641

Fax(601) 584-4053

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateApril 4, 2008

✔ NPI 1285807875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MS · 1051

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.

103 S 19TH AVE, Hattiesburg, MS 39401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chevonna Milloy-bass is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658887708

PECOS Enrollment IDI20250724000570

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.

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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.

DR. RAYMOND L STRUCK M.D.

Psychiatry & Neurology (Psychiatry)