Individual provider Active NPI

Kristina Mills-Gregory, LCMHC, LPC

  • Mental Health Counselor
  • Camden, NC
National Provider Identifier
1003239575
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8465 Issued in NC
Practice address
113 Vineyard Dr
Camden, NC 27921-7649
Phone
(919) 921-6684
NPI assigned
Feb 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701014849 VA
Professional Counselor 101YP2500X 11549 SC
Professional Counselor 101YP2500X C9025 OR
Mental Health Counselor 101YM0800X 068.0136165 VT
Mental Health Counselor 101YM0800X 8465 NC Primary
Mental Health Counselor 101YM0800X TPMC3001 FL

Addresses

Primary practice location

113 Vineyard Dr
Camden, NC 27921-7649

Mailing address

113 Vineyard Dr
Camden, NC 27921-7649
Phone (919) 921-6684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC, OR, SC, VT5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20250505002794 NC Practitioner - Mental Health Counselor 0345767281 Reassigns benefits to 2 organizations
I20250515000597 DC Practitioner - Mental Health Counselor 0345767281 Reassigns benefits to 1 organization
I20251028000347 OR Practitioner - Mental Health Counselor 0345767281 Reassigns benefits to 1 organization
I20251223000080 SC Practitioner - Mental Health Counselor 0345767281 Reassigns benefits to 1 organization
I20260606000395 VT Practitioner - Mental Health Counselor 0345767281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPMC3001FLMDMental Health Counselor
068.0136165VTMDMental Health Counselor
C9025ORMDProfessional Counselor
0701014849VAMDProfessional Counselor
8465NCMDGeneral Practice Dentistry

Practice roles (5 of 14)

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Sondermind PC Professional CurrentSince Aug 1, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince May 2, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Pathways to Life, Inc Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Networks

  • WA PPO C-SNP
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • TN PPO C-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • KY PPO
  • TN PPO
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • KY PPO C-SNP
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: kristinamillsgregory@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1003239575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 VINEYARD DR",
            "city": "CAMDEN",
            "state": "NC",
            "postal_code": "279217649",
            "telephone_number": "919-921-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 VINEYARD DR",
            "city": "CAMDEN",
            "state": "NC",
            "postal_code": "279217649",
            "telephone_number": "919-921-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS-GREGORY",
        "first_name": "KRISTINA",
        "credential": "LCMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014849",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "11549",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C9025",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136165",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8465",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC3001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NC

Sources for this page

Verify at the official NPI Registry.