Kelly Mills

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4068 Issued in OK

Practice address

94210 Holdenbury Dr
Unit B
Watertown, NY 13603-3268

Phone

(580) 373-2820

NPI assigned

Oct 31, 2014

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mills Pro Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Drum, NY
  • NPI 1528837960
  NPD Authorized official

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1245635382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94210 HOLDENBURY DR",
            "address_2": "UNIT B",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136033268",
            "telephone_number": "580-699-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94210 HOLDENBURY DR",
            "address_2": "UNIT B",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136033268",
            "telephone_number": "580-373-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Elaine Miller, P.T,
• Florica Tudoran Miller, DDS
• Jamie Miller
• Jeffrey Miller, PHARMD
• Shaelynn Marie Miller, LPN
• Marcy B Mills, NP
• Walter August Minaert Jr., MD
• Rebecca J Minckler, MA/CAS
• Eve Rosemary Mingle, RDN,CDN
• Ruth Amalea Mintz, MS, RD

• Professional Counselor in Watertown, NY
• Providers in Watertown, NY by specialty
• Professional Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.