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TARIK MALACHI MCMILLAN M.S.ED.
NPI 1750896072
Counselor - Mental Health in Frederiksted, VI

Active since December 08, 2017PECOS Enrolled
40 EG LAGRANGE, FREDERIKSTED, VI 00840(340) 332-2717 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2019, Feb 6, 2019, Dec 8, 2017 (3 updates tracked since 2017).

About Tarik Malachi Mcmillan M.s.ed. NPPES

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

TARIK MALACHI MCMILLAN M.S.ED. (NPI 1750896072) is an individual mental health provider in Frederiksted, Virgin Islands, licensed in Virgin Islands (2-43354-1L) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Christiansted, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1750896072
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTARIK MALACHI MCMILLANCredential: M.S.ED.
Location Address40 EG LAGRANGEFrederiksted, VI 00840
Mailing AddressPo Box 1833Frederiksted, VI 00841-1833 · (340) 332-2717
Phone(340) 332-2717
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 8, 2017
Last NPPES UpdateOctober 15, 20193 updates tracked since enumeration
✔ NPI 1750896072 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 VI · 2-43354-1L

Secondary Practice Location 1

Location 144 Union Mt WashingtonChristiansted, VI 00820-0082 · Phone (340) 332-2717 · Fax (340) 332-2717

Other Identifiers 1

Other2-43354VI · Department Of Licensing And Consumer Affairs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tarik Malachi Mcmillan M.s.ed. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42783219
PECOS Enrollment IDI20260629002976
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.

Medicare Billing Reassignment

Medicare enrollment records show Tarik Mcmillan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Greater Changes LLC.
Mental Health
40 EG LAGRANGE
Frederiksted, VI 00841
  • Reassigned Medicare billing, U.S. Virgin Islands enrollment
NPI 1497210256 (340) 332-2717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tarik Mcmillan's NPI number?

The NPI number for Tarik Mcmillan is 1750896072. It was assigned to this individual provider in the NPPES registry on December 8, 2017.

Where is Tarik Mcmillan located?

Tarik Mcmillan practices at 40 Eg Lagrange, Frederiksted, VI 00840. The listed phone number is (340) 332-2717.

What is Tarik Mcmillan's specialty?

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

Is Tarik Mcmillan enrolled in Medicare?

Yes. Tarik Mcmillan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tarik Mcmillan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarik Mcmillan reassigns Medicare benefits to Greater Changes LLC. (Frederiksted, VI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tarik Mcmillan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tarik Mcmillan was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.