Individual provider Active NPI

Mikayla Elizabeth Mills

  • Mental Health Counselor
  • Lafayette, IN
National Provider Identifier
1043882889
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
615 N 18TH St Ste 101
Lafayette, IN 47904-3413
Phone
(765) 423-5361
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X IN
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

615 N 18TH St Ste 101
Lafayette, IN 47904-3413

Mailing address

8748 N 90 E
Burrows, IN 46916
Phone (765) 421-2780

Other names 1

  • Mikayla Powlen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20240730000400 IN Practitioner - Mental Health Counselor 5092252817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willowstone Family ServicesGroup PAC ID 0749234904, 4 clinicians

Practice addresses (Care Compare)

615 N 18TH St
Suite 101
Lafayette, IN 47904-3413
Phone (765) 423-5361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willowstone Family Services Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Cummins Behavioral Health Systems, Incorporated PastSince Jul 1, 2021 Accepting new patients

Locations

615 N 18th St
Ste 101
Lafayette, IN 47904
Phone (765) 423-5361

Organizations & group practices 2

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1043882889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8748 N 90 E",
            "city": "BURROWS",
            "state": "IN",
            "postal_code": "46916",
            "telephone_number": "765-421-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N 18TH ST STE 101",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043413",
            "telephone_number": "765-423-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "MIKAYLA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAYLA",
            "last_name": "POWLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.