Active NPI
Charles Craig Mills, MC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1619033701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-0245
- Practice address
- 4222 E Camelback Rd
Suite 230H
Phoenix, AZ 85018-2745 - Phone
- (602) 852-0911
- Fax
- (602) 852-0632
- NPI assigned
- Dec 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-0245 | AZ | Primary |
Addresses
Primary practice location
4222 E Camelback Rd
Suite 230H
Phoenix, AZ 85018-2745
Mailing address
1261 W. Lynx Way
Chandler, AZ 85248
Phone (602) 852-0911
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-0245 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1619033701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 W. LYNX WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85248",
"telephone_number": "602-852-0911",
"fax_number": "602-852-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4222 E CAMELBACK RD",
"address_2": "SUITE 230H",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182745",
"telephone_number": "602-852-0911",
"fax_number": "602-852-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "CHARLES",
"middle_name": "CRAIG",
"name_prefix": "Mr.",
"credential": "MC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-31",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-0245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.