Individual provider Active NPI

Chandra Shawan Mills, MA, LPC, LAC

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1295094696
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7752 Issued in SC
Practice address
430 Woodruff Rd Ste 450
Greenville, SC 29607-3443
Phone
(864) 400-5130
NPI assigned
May 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7752 SC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 237 SC

Addresses

Primary practice location

430 Woodruff Rd Ste 450
Greenville, SC 29607-3443

Mailing address

1400 Cleveland St.
Greenville, SC 29607
Phone (864) 467-3970

Other practice location 1

1400 Cleveland St.
Greenville, SC 29607
Phone (864) 467-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510003432 SC Practitioner - Mental Health Counselor 3072954825 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
237SCMDAddiction (Substance Use Disorder) Counselor
7752SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Family Health Services, Inc. Current Accepting new patients
Healing Hearts Counseling Services LLC Current Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 18, 2025 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 18, 2025 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
New Horizon Family Health Services Inc CurrentSince Dec 1, 2024 Accepting new patients
Regenesis Organization Community Health Center Current Accepting new patients
New Horizon Family Health Services, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Upstate Ellie LLC CurrentSince May 27, 2024 Accepting new patients

Locations

430 Woodruff Rd
Ste 450
Greenville, SC 29607
Phone (864) 400-5130

130 Mallard St
Greenville, SC 29601
Phone (864) 233-1534

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1295094696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CLEVELAND ST.",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-467-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WOODRUFF RD STE 450",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073443",
            "telephone_number": "864-400-5130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Cleveland St.",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "29607",
            "country_code": "US",
            "telephone_number": "864-467-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "CHANDRA",
        "middle_name": "SHAWAN",
        "credential": "MA, LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7752",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.