Active NPI
Patricia Jeanette Mills, LCSW
- Clinical Social Worker
- Provo, UT
National Provider Identifier
1295037133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6532335-3501
- Practice address
- 151 S University Ave
Suite 3200
Provo, UT 84601-4427 - Phone
- (801) 851-7667
- Fax
- (801) 851-7669
- NPI assigned
- Nov 29, 2010
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6532335-3501 | UT | Primary |
Addresses
Primary practice location
151 S University Ave
Suite 3200
Provo, UT 84601-4427
Mailing address
151 S University Ave
Suite 3200
Provo, UT 84601-4427
Phone (801) 851-7667
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 |
|---|---|---|---|
| 6532335-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Mills Supportive Counseling LLC | Current | Accepting new patients | |
| Utah County Department of Drug and Alcohol Prevention and Treatment | Past | Accepting new patients |
Interoperability endpoints
- patriciamills@tdh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spanish Fork, UT
- NPI 1154960458
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Provo, UT
- NPI 1295852911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1295037133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 S UNIVERSITY AVE",
"address_2": "SUITE 3200",
"city": "PROVO",
"state": "UT",
"postal_code": "846014427",
"telephone_number": "801-851-7667",
"fax_number": "801-851-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 S UNIVERSITY AVE",
"address_2": "SUITE 3200",
"city": "PROVO",
"state": "UT",
"postal_code": "846014427",
"telephone_number": "801-851-7667",
"fax_number": "801-851-7669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "PATRICIA",
"middle_name": "JEANETTE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-29",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "6532335-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.