Active NPI
Angel N Mills, LPC
- Mental Health Counselor
- Kyle, SD
National Provider Identifier
1295225308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC20628
- Practice address
- 1000 Health Ctr Rd
Kyle, SD 57752 - Phone
- (605) 455-8202
- NPI assigned
- May 14, 2018
- Last updated
- Jan 21, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CMH0192171 | NM | |
| Mental Health Counselor | 101YM0800X | OR | ||
| Mental Health Counselor | 101YM0800X | LPC20628 | SD | Primary |
Addresses
Primary practice location
1000 Health Ctr Rd
Kyle, SD 57752
Mailing address
Bia Hwy 27
General Delivery
Porcupine, SD 57772
Phone (605) 646-2469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500743876 | Medicaid | OR |
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 |
|---|---|---|---|
| CMH0192171 | NM | MD | Mental Health Counselor |
| LPC20628 | SD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1295225308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BIA HWY 27",
"address_2": "GENERAL DELIVERY",
"city": "PORCUPINE",
"state": "SD",
"postal_code": "57772",
"telephone_number": "605-646-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HEALTH CTR RD",
"city": "KYLE",
"state": "SD",
"postal_code": "57752",
"telephone_number": "605-455-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "ANGEL",
"middle_name": "N",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CMH0192171",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPC20628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500743876",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kyle, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.