Individual provider Active NPI

Jason Mills

  • Mental Health Counselor
  • Dover Foxcroft, ME
National Provider Identifier
1407622491
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
XL7116 Issued in ME
Practice address
1048 South St
Dover Foxcroft, ME 04426-1232
Phone
(207) 564-3000
Fax
(207) 422-7339
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X XL7116 ME Primary

Addresses

Primary practice location

1048 South St
Dover Foxcroft, ME 04426-1232

Mailing address

1048 South St
Dover Foxcroft, ME 04426-1232
Phone (207) 564-3000

Other practice location 1

89 Water St
Hallowell, ME 04347-1477
Phone (207) 564-3000

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

LicenseStateTypeSpecialty
XL7116MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Center of Maine Past Accepting new patients

Organizations & group practices 1

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": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1407622491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 SOUTH ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261232",
            "telephone_number": "207-564-3000",
            "fax_number": "207-422-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 SOUTH ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261232",
            "telephone_number": "207-564-3000",
            "fax_number": "207-422-7339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Water St",
            "address_purpose": "LOCATION",
            "city": "Hallowell",
            "state": "ME",
            "postal_code": "043471477",
            "country_code": "US",
            "telephone_number": "207-564-3000",
            "fax_number": "207-422-7339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL7116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.