Individual provider Active NPI

Jamie Estelle Mills, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1104492081
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CO16302 Issued in NC
Practice address
8601 Six Forks Rd Ste 400
Raleigh, NC 27615-2965
Phone
(919) 756-6210
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MI
Clinical Social Worker 1041C0700X 6851110038 MI
Clinical Social Worker 1041C0700X CO16302 NC Primary

Addresses

Primary practice location

8601 Six Forks Rd Ste 400
Raleigh, NC 27615-2965

Mailing address

2500 English Rose LN Apt 109
Raleigh, NC 27614-6892
Phone (502) 724-3446

Other practice location 1

2500 English Rose Ln Apt 109
Raleigh, NC 27614-6892
Phone (502) 724-3446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230814003531 MI Practitioner - Clinical Social Worker 1759743354 Reassigns benefits to 1 organization
I20231109003835 NC Practitioner - Clinical Social Worker 1759743354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cannenta Wellness and Counseling IncGroup PAC ID 9638695034, 2 clinicians

Practice addresses (Care Compare)

8601 Six Forks Rd
Raleigh, NC 27615-2965
Phone (919) 756-6210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851110038MIMDClinical Social Worker
CO16302NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. CurrentSince Nov 13, 2023 Accepting new patients
Livingston County Community Mental Health Authority CurrentSince Aug 1, 2023 Accepting new patients
Cannenta Wellness & Counseling Inc Clinical CurrentSince Feb 12, 2025 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Nov 13, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients

Locations

622 E Grand River Ave
Howell, MI 48843
Phone (517) 548-0081

2280 E Grand River Ave
Howell, MI 48843
Phone (517) 546-4126

10950 Chapel Hill Rd
Ste A
Morrisville, NC 27560
Phone (919) 327-1630

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

8601 Six Forks Rd
Ste 400
Raleigh, NC 27615
Phone (919) 637-4089

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.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1104492081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH ROSE LN APT 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146892",
            "telephone_number": "502-724-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 SIX FORKS RD STE 400",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152965",
            "telephone_number": "919-756-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 English Rose Ln Apt 109",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276146892",
            "country_code": "US",
            "telephone_number": "502-724-3446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JAMIE",
        "middle_name": "ESTELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110038",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "CO16302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.