Amanda Patrice Mills, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2311025 Issued in AR

Practice address

2126 N 1St St
Suite F
Jacksonville, AR 72076-2868

Phone

(501) 982-5000

Fax

(501) 982-5007

NPI assigned

Jan 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Families, Inc of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1770535569
  Medicare reassignment NPD
• Families, Inc. of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, AR
  • NPI 1831335744
  NPD
• Central Arkansas Group Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bentonville, AR
  • NPI 1356867303
  NPD (past)

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1003239849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE ROAD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724057870",
            "telephone_number": "870-933-6886",
            "fax_number": "870-933-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 N 1ST ST",
            "address_2": "SUITE F",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720762868",
            "telephone_number": "501-982-5000",
            "fax_number": "501-982-5007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4702 W Commercial Dr Ste B3",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721167073",
            "country_code": "US",
            "telephone_number": "501-205-4570",
            "fax_number": "888-305-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "AMANDA",
        "middle_name": "PATRICE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2311025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200463795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian E Meyer, MD
• Gregory Meyer
• Jennifer Michel, LMSW
• Terry Lee Mikolajczak
• Tanya Nashel Miller, ADC
• Lindsey Mills, LPC
• Daviaunna Mitchell
• Mitchell'S Transport
• Ebony Monique Montgomery, APRN
• Vicki Reed Moody-Hall, LPC

• Professional Counselor in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.