Individual provider Active NPI

Rashad Lajuan Mills

  • Professional Counselor
  • Nottingham, MD
National Provider Identifier
1114408002
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC8502 Issued in MD
Practice address
8817 Belair Rd
Nottingham, MD 21236-2425
Phone
(410) 948-0654
NPI assigned
Aug 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LC8502 MD
Professional Counselor 101YP2500X LC8502 MD Primary

Addresses

Primary practice location

8817 Belair Rd
Nottingham, MD 21236-2425

Mailing address

100 Ironwood CT
Baltimore, MD 21237-4071
Phone (410) 948-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240520001366 MD Practitioner - Mental Health Counselor 9133561327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC8502MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Open Mind Mental Health Physicians, Inc. Mental Health CurrentSince Oct 17, 2024 Accepting new patients

Locations

145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509

6701 Democracy Blvd
Ste 300
Bethesda, MD 20817
Phone (443) 351-4650

5000 Thayer Ctr
Ste C
Oakland, MD 21550
Phone (410) 397-7100

Organizations & group practices 1

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1114408002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 IRONWOOD CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374071",
            "telephone_number": "410-948-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8817 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362425",
            "telephone_number": "410-948-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "RASHAD",
        "middle_name": "LAJUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC8502",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.