Individual provider Active NPI

Peter Millis, MSW, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1376959114
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010676 Issued in NC
Practice address
390 Merrimon Ave
Asheville, NC 28801
Phone
(828) 545-4562
NPI assigned
Jul 1, 2014
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C010676 NC Primary

Addresses

Primary practice location

390 Merrimon Ave
Asheville, NC 28801

Mailing address

27 Patriots Dr
Asheville, NC 28805-9730
Phone (828) 545-4562

Other practice location 1

229 School Rd
Asheville, NC 28806-1533
Phone (828) 545-4562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20181030003163 NC Practitioner - Clinical Social Worker 3971856444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

390 Merrimon Ave
Asheville, NC 28801-1222
Phone (828) 545-4562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C010676NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Asheville Counseling and Psychotherapy Center Current Accepting new patients
Asheville Counseling and Psychotherapy Center PC Clinical CurrentSince Sep 18, 2018 Accepting new patients

Locations

390 Merrimon Ave
Asheville, NC 28801
Phone (828) 337-4124

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1376959114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PATRIOTS DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288059730",
            "telephone_number": "828-545-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MERRIMON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28801",
            "telephone_number": "828-545-4562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 School Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288061533",
            "country_code": "US",
            "telephone_number": "828-545-4562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIS",
        "first_name": "PETER",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.