Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ilan Millstrom, RN

Individual provider Mental Health Counselor · NPI 1932900396

Ilan Millstrom, RN is a Mental Health Counselor in Charlestown, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2025
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2 Constitution Plz
Charlestown, MA 02129-2021
Phone: (617) 724-9852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2391393 (MA)
Mental Health Counselor Taxonomy 101YM0800X
Registered Nurse Taxonomy 163W00000X · Licence RN2391393 (MA)

Record details

NPI number1932900396
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials RN
Sole proprietorYes
NPI enumeratedMarch 21, 2025
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing addressPo Box 440031, Somerville, MA 02144-0001

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