Active NPI
Kristina Mills-Gregory, LCMHC, LPC
- Mental Health Counselor
- Camden, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8465
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| TPMC3001 | FL | MD | Mental Health Counselor |
| 068.0136165 | VT | MD | Mental Health Counselor |
| C9025 | OR | MD | Professional Counselor |
| 0701014849 | VA | MD | Professional Counselor |
| 8465 | NC | MD | General Practice Dentistry |
Practice roles (5 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind, P.a. | Mental Health | Current | Accepting new patients |
| Sondermind PC | Professional | Current | Accepting new patients |
| Grow Healthcare Group PA | Mental Health | Current | 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
- 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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
DC, Mental Health, NC, SC, VT
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
-
- Community/Behavioral Health Agency
- Selma, NC
- NPI 1114331147
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.