Active NPI
Debra Mills, LMHC, LADC-I
- Mental Health Counselor
- Salem, MA
National Provider Identifier
1316108863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8649
- Practice address
- 204 Lafayette St
Salem, MA 01970-4721 - Phone
- (603) 531-3704
- Fax
- (978) 564-7541
- NPI assigned
- Jun 18, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11340 | MA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LADC: 649 | NH | |
| Mental Health Counselor | 101YM0800X | LCMHC: 729 | NH | |
| Mental Health Counselor | 101YM0800X | 8649 | MA | Primary |
Addresses
Primary practice location
204 Lafayette St
Salem, MA 01970-4721
Mailing address
204 Lafayette St
Salem, MA 01970-4721
Phone (603) 531-3704
Other practice location 1
4 Greenleaf Woods Dr Unit 302
Portsmouth, NH 03801-5441
Phone (603) 531-3704
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99003227 | Medicaid | NH | |
| 7706655Y0NH01 | Other | BHN | |
| 7706655Y0NH01 | Other | NH | BHN |
Other names 1
- Debra Braun
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 |
|---|---|---|---|
| LADC: 649 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| LCMHC: 729 | NH | MD | Mental Health Counselor |
| 11340 | MA | MD | Occupational Therapist |
| 8649 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1316108863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 LAFAYETTE ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019704721",
"telephone_number": "603-531-3704",
"fax_number": "978-564-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 LAFAYETTE ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019704721",
"telephone_number": "603-531-3704",
"fax_number": "978-564-7541"
}
],
"practiceLocations": [
{
"address_1": "4 Greenleaf Woods Dr Unit 302",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "NH",
"postal_code": "038015441",
"country_code": "US",
"telephone_number": "603-531-3704",
"fax_number": "603-431-8464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLS",
"first_name": "DEBRA",
"credential": "LMHC, LADC-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "11340",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "LADC: 649",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "LCMHC: 729",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "8649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99003227",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BHN",
"identifier": "7706655Y0NH01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BHN",
"identifier": "7706655Y0NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "BRAUN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.