MS. MARY DARLENE MILLICENT LICSW
NPI 1649547589
Counselor - Mental Health in Brainerd, MN

Active since November 21, 2011
520 NW 5TH ST, BRAINERD, MN 56401(218) 829-3235 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Mary Darlene Millicent Licsw NPPES

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

MS. MARY DARLENE MILLICENT LICSW (NPI 1649547589) is an individual mental health provider in Brainerd, Minnesota, licensed in Minnesota (16030) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1649547589
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MARY DARLENE MILLICENTCredential: LICSW
Location Address520 NW 5TH STBrainerd, MN 56401-2902
Mailing Address11 1st St Se, Po Box 32Rice, MN 56367-8857 · (320) 828-1092
Sole ProprietorNo
Enumeration DateNovember 21, 2011
NPI 1649547589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · 16030
520 NW 5TH ST, Brainerd, MN 56401

Other Identifiers 1

Other00000000None-pending

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.

Social Worker (Clinical)
520 NW 5TH ST
BRAINERD, MN 56401
Psychologist
520 NW 5TH ST
BRAINERD, MN 56401
Nurse Practitioner (Psychiatric/Mental Health)
520 NW 5TH ST
BRAINERD, MN 56401
Community/Behavioral Health
520 NW 5TH ST
BRAINERD, MN 56401
Social Worker (Clinical)
520 NW 5TH ST
BRAINERD, MN 56401
Social Worker (Clinical)
520 NW 5TH ST
BRAINERD, MN 56401
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
520 NW 5TH ST
BRAINERD, MN 56401
Counselor (Professional)
520 NW 5TH ST
BRAINERD, MN 56401

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 Mary Millicent's NPI number?

The NPI number for Mary Millicent is 1649547589. It was assigned to this individual provider in the NPPES registry on November 21, 2011.

Where is Mary Millicent located?

Mary Millicent practices at 520 NW 5th St, Brainerd, MN 56401. The listed phone number is (218) 829-3235.

What is Mary Millicent's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Millicent was last updated on November 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.