Kellye Marie Mills, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC014391 Issued in GA

Practice address

135 Gold Mill PL
Canton, GA 30114-4025

Phone

(678) 644-0997

NPI assigned

Jan 29, 2024

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resilient Minds Behavioral Health and Wellness Inc

  • Professional Counselor
  • Woodstock, GA
  • NPI 1639965379
  Medicare reassignment NPD Authorized official
• R and M Behavioral Health and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodstock, GA
  • NPI 1245039643
  NPD Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1336901800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GOLD MILL PL",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144025",
            "telephone_number": "678-481-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GOLD MILL PL",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144025",
            "telephone_number": "678-644-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KELLYE",
        "middle_name": "MARIE",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Macgregor Miller, DC
• Hannah Miller, PT, DPT
• Heather Elizabeth Miller, MS, CF-SLP
• Mikah Miller, LPC
• Milene Hugo Miller
• Jessica Caroline Mimbs, RN, MSN, FNP-C
• Sheila Minder
• Mindful Lactation Education, LLC
• Mini-Med Clinic of North Georgia, LLC (Mini-Med Clinic of North Georgia)
• Kimberly Amelia Minick, DC

• Professional Counselor in Canton, GA
• Providers in Canton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.