MICAH A GILLEN MS LPC NPI 1922513894

NPI Information

NPI: 1922513894
Provider Name: MICAH A GILLEN, MS, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1040 S WINTER ST STE 1022
ADRIAN, MI
ZIP 49221
Phone: (517) 263-8905
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Micah A Gillen, MS, LPC is a professional counselor in Adrian, MI. Micah A Gillen, MS, LPC NPI is 1922513894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1040 S WINTER ST STE 1022
ADRIAN, MI
ZIP 49221-876
Phone: (517) 263-8905

The enumeration date for this NPI number is 12/13/2017 and was last updated on 7/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2017042234	MISSOURI	No
2	101YP2500X	Counselor	Professional	6401223314	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2017042234	OTHER	MISSOURI	PLPC LICENSE
2	490054503	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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