Active NPI
Chandra Shawan Mills, MA, LPC, LAC
- Professional Counselor
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7752
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237 | SC | MD | Addiction (Substance Use Disorder) Counselor |
| 7752 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| New Horizon Family Health Services Inc | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| New Horizon Family Health Services, Inc. | Current | Accepting new patients | |
| Upstate Ellie LLC | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1194710426
-
- Specialist
- Greenville, SC
- NPI 1457073694
-
- Mental Health Counselor
- Greenville, SC
- NPI 1821812785
-
- Federally Qualified Health Center (FQHC)
- Greenville, SC
- NPI 1629872734
-
- Federally Qualified Health Center (FQHC)
- Greenville, SC
- NPI 1043495526
-
- Federally Qualified Health Center (FQHC)
- Greenville, SC
- NPI 1205949757
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457061087
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457745952
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1558946376
-
- Federally Qualified Health Center (FQHC)
- Union, SC
- NPI 1982248852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.