Active NPI
Amy Renee Mills, LPC
- Counselor
- Tulsa, OK
National Provider Identifier
1174990378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4185
- Practice address
- 3616 S Gary Ave
Tulsa, OK 74105-3602 - Phone
- (918) 306-1595
- NPI assigned
- Aug 24, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4185 | OK | Primary |
| School Psychologist | 103TS0200X | 183716 | OK |
Addresses
Primary practice location
3616 S Gary Ave
Tulsa, OK 74105-3602
Mailing address
3616 S. Gary
Tulsa, OK 74105
Phone (918) 306-1595
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
| License | State | Type | Specialty |
|---|---|---|---|
| 183716 | OK | MD | School Psychologist |
| 4185 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1174990378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3616 S. GARY",
"city": "TULSA",
"state": "OK",
"postal_code": "74105",
"telephone_number": "918-306-1595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3616 S GARY AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741053602",
"telephone_number": "918-306-1595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "AMY",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "4185",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OK",
"license": "183716",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.