Individual provider Active NPI

Virginia H Mills, MAED, LPCS, LCAS

  • Professional Counselor
  • Winston-Salem, NC
National Provider Identifier
1467603704
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2943LPC Issued in NC
Practice address
1066 W. 4TH St.
Suites 101, 201 & 202
Winston-Salem, NC 27101
Phone
(336) 923-7426
Fax
(704) 625-3617
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2943 NC
Mental Health Counselor 101YM0800X 2943 NC
Professional Counselor 101YP2500X 2943LPC NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1426LCAS NC

Addresses

Primary practice location

1066 W. 4TH St.
Suites 101, 201 & 202
Winston-Salem, NC 27101

Mailing address

2084 Heidelburg Dr.
Winston-Salem, NC 27106
Phone (336) 923-7426

Other names 1

  • Ginny H Mills Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 2, 2024 through Jan 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1426LCASNCMDAddiction (Substance Use Disorder) Counselor
2943LPCNCMDProfessional Counselor
2943NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1467603704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 HEIDELBURG DR.",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-923-7426",
            "fax_number": "704-625-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 W. 4TH ST.",
            "address_2": "SUITES 101, 201 & 202",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-923-7426",
            "fax_number": "704-625-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "VIRGINIA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "MAED, LPCS, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2943",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2943",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2943LPC",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1426LCAS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINNY",
            "last_name": "MILLS",
            "middle_name": "H",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winston-Salem, NC

Sources for this page

Verify at the official NPI Registry.