Desiree N Mills, CRM, CADC-R

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

18CRM066 Issued in OR

Practice address

200 SE Hailey Ave Ste 204
Pendleton, OR 97801-3072

Phone

(541) 963-4104

Fax

(541) 429-8822

NPI assigned

Jul 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Oregon Washington Health Network

  • Health Service Clinic/Center
  • Pendleton, OR
  • NPI 1356971493

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1356913669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010882",
            "telephone_number": "541-429-8844",
            "fax_number": "541-429-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE HAILEY AVE STE 204",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013072",
            "telephone_number": "541-963-4104",
            "fax_number": "541-429-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "DESIREE",
        "middle_name": "N",
        "credential": "CRM, CADC-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T19458",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "18CRM066",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "18CRM066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Miller
• Odin Edward Miller
• Payton Jean Miller, QMHA
• Stephanie Miller, MSW
• Tina M Miller
• Jonie Marie Mills, CADC
• Shelly Rose Minthorn
• Linda Marie Mishler, PTA
• Jana Kae Mitchell
• Justin Mitchell

• Peer Specialist in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.