Active NPI
A Mills Inc
- Mental Health Counselor
- South Bend, IN
National Provider Identifier
1043904006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- A MILLS INC
- Practice address
- 557 Hildebrand St
South Bend, IN 46614-5567 - Phone
- (574) 261-2416
- Fax
- (574) 807-9616
- NPI assigned
- Jun 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Mills-Kohler, LCSW
- Title
- Owner
- Phone
- (574) 261-2416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
557 Hildebrand St
South Bend, IN 46614-5567
Mailing address
557 Hildebrand St
South Bend, IN 46614-5567
Phone (574) 261-2416
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685923200000",
"number": "1043904006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 HILDEBRAND ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466145567",
"telephone_number": "574-261-2416",
"fax_number": "574-807-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 HILDEBRAND ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466145567",
"telephone_number": "574-261-2416",
"fax_number": "574-807-9616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A MILLS INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-04",
"status": "A",
"authorized_official_last_name": "MILLS-KOHLER",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-261-2416",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.