Individual provider Active NPI

Kristen M Mills

  • Clinical Social Worker
  • Rio Rancho, NM
National Provider Identifier
1073027405
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11367 Issued in NM
Practice address
333 Rio Rancho Blvd NE Ste 203
Rio Rancho, NM 87124-1456
Phone
(505) 974-2323
NPI assigned
Nov 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-11367 NM Primary
School Social Worker 1041S0200X X-10326 NM

Addresses

Primary practice location

333 Rio Rancho Blvd NE Ste 203
Rio Rancho, NM 87124-1456

Mailing address

333 Rio Rancho Blvd NE Ste 203
Rio Rancho, NM 87124-1456
Phone (505) 974-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C-11367NMMDClinical Social Worker
X-10326NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valued Healing LLC Clinical Current Accepting new patients
Rio Rancho Public Schools School Past Accepting new patients
Rio Rancho Public Schools Past Accepting new patients

Locations

333 Rio Rancho Blvd NE
Ste 203
Rio Rancho, NM 87124
Phone (505) 226-2238

530B Harkle Rd
Ste 100
Santa Fe, NM 87505
Phone (505) 702-4834

Organizations & group practices 3

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1073027405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 RIO RANCHO BLVD NE STE 203",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241456",
            "telephone_number": "505-974-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 RIO RANCHO BLVD NE STE 203",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241456",
            "telephone_number": "505-974-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11367",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "X-10326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.