Active NPI
Renee Lucette Mills, LMHC
- Mental Health Counselor
- Staten Island, NY
National Provider Identifier
1154830537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 008467-1
- Practice address
- 185 Saint Marks PL Apt 15K
Staten Island, NY 10301-1647 - Phone
- (302) 345-9946
- NPI assigned
- Sep 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 008467-1 | NY | Primary |
Addresses
Primary practice location
185 Saint Marks PL Apt 15K
Staten Island, NY 10301-1647
Mailing address
185 Saint Marks PL Apt 15K
Staten Island, NY 10301-1647
Phone (302) 345-9946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008467-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1154830537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 SAINT MARKS PL APT 15K",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103011647",
"telephone_number": "302-345-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 SAINT MARKS PL APT 15K",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103011647",
"telephone_number": "302-345-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "RENEE",
"middle_name": "LUCETTE",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-28",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "008467-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.