Bereta Mills

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

34255 Issued in NY

Practice address

946 E 211TH St
Bronx, NY 10469-1108

Phone

(718) 547-0133

Fax

(718) 547-0051

NPI assigned

May 29, 2019

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Camelot of Staten Island, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Staten Island, NY
  • NPI 1942359476
  NPD (past)

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1609434315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 VAN SICLEN AVE APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074347",
            "telephone_number": "347-737-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 E 211TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691108",
            "telephone_number": "718-547-0133",
            "fax_number": "718-547-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "946 E 211th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104691108",
            "country_code": "US",
            "telephone_number": "718-547-0133",
            "fax_number": "718-547-0051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "BERETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "34255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Martelli Millis, NP
• Lisa Margaret Millman, MD
• Vincenza F Millocca, M.S. CCC-SLP
• Carol Virginia Mills Kamara, LCSW
• Aldario A Mills
• Danielle Mills, LMHC, CRC
• Johanne Lemoine Mills, LCSW
• Khiema Mills
• Marika C Mills, M.D.
• Mary R Mills

• Addiction (Substance Use Disorder) Counselor in Bronx, NY
• Providers in Bronx, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.