Individual provider Active NPI

Brian S Mills, PH.D., LCPC

  • Professional Counselor
  • Newton, KS
National Provider Identifier
1003029588
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC 320 Issued in KS
Practice address
2119 Bristol LN
Newton, KS 67114-9034
Phone
(316) 217-1892
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC 320 KS
Professional Counselor 101YP2500X LCPC 320 KS Primary

Addresses

Primary practice location

2119 Bristol LN
Newton, KS 67114-9034

Mailing address

2119 Bristol LN
Newton, KS 67114-9034
Phone (316) 217-1892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCPC 320KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Specialties, PLC CurrentSince Oct 19, 2024 Accepting new patients
Brian S Mills, PHD., LLC Professional Current Accepting new patients
Psychiatric and Psychological Specialties CurrentSince Oct 19, 2024 Accepting new patients

Locations

415 Main St
Ste A
Saint Joseph, MI 49085
Phone (269) 408-1688

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27120/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1003029588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 BRISTOL LN",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149034",
            "telephone_number": "316-217-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 BRISTOL LN",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149034",
            "telephone_number": "316-217-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "BRIAN",
        "middle_name": "S",
        "credential": "PH.D., LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "LCPC 320",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LCPC 320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.