Active NPI
Richard Doug Mills
- Mental Health Counselor
- San Jose, CA
National Provider Identifier
1184222101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14126
- Practice address
- 2001 The Alameda
San Jose, CA 95126-1136 - Phone
- (408) 261-7777
- Fax
- (408) 259-2273
- NPI assigned
- Oct 12, 2020
- Sex
- Male
- 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 | 14126 | CA | Primary |
Addresses
Primary practice location
2001 The Alameda
San Jose, CA 95126-1136
Mailing address
7100 San Ramon Rd Apt 129
Dublin, CA 94568-3230
Phone (484) 860-4701
Other practice location 1
307 2nd Ave
San Mateo, CA 94401-3905
Phone (650) 450-7022
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1184222101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 SAN RAMON RD APT 129",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683230",
"telephone_number": "484-860-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261136",
"telephone_number": "408-261-7777",
"fax_number": "408-259-2273"
}
],
"practiceLocations": [
{
"address_1": "307 2nd Ave",
"address_purpose": "LOCATION",
"city": "San Mateo",
"state": "CA",
"postal_code": "944013905",
"country_code": "US",
"telephone_number": "650-450-7022",
"fax_number": "833-228-5395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLS",
"first_name": "RICHARD",
"middle_name": "DOUG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-12",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "14126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.