Kristi Michelle Mills, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS21782 Issued in DC

Practice address

11555 Los Osos Valley Rd
Suite 206
San Luis Obispo, CA 93405-6472

Phone

(805) 704-1530

Fax

(805) 406-5378

NPI assigned

Oct 13, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1437484292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 LOS OSOS VALLEY ROAD",
            "address_2": "SUITE 206",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93405",
            "telephone_number": "805-704-1530",
            "fax_number": "805-406-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 LOS OSOS VALLEY RD",
            "address_2": "SUITE 206",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934056472",
            "telephone_number": "805-704-1530",
            "fax_number": "805-406-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KRISTI",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LCS21782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Miller, LMFT
• Matthew Scott Miller, PT, DPT
• Pamela Jean Miller, MA, MFT
• Sandra Nickole Miller, RD,CDE
• Triesha Heather Miller, LPT
• Mary Mills
• Kathleen Marie Milner
• Eric Alan Milo
• Youstina Mina
• Mindful Heart Family Therapy, Inc

• Clinical Social Worker in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.