Individual provider Active NPI

Kelly Cousette Mills, LPC-S

  • Mental Health Counselor
  • Tuscaloosa, AL
National Provider Identifier
1629238548
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2571 Issued in AL
Practice address
201 Towncenter Blvd
Tuscaloosa, AL 35406-1824
Phone
(205) 650-0576
Fax
(205) 764-5995
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 2571 AL Primary

Addresses

Primary practice location

201 Towncenter Blvd
Tuscaloosa, AL 35406-1824

Mailing address

201 Towncenter Blvd
Tuscaloosa, AL 35406-1824
Phone (205) 650-0576

Other names 1

  • Miss Kelly Rena Cousette Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Transformations Counseling Center CurrentSince Sep 20, 2022 Accepting new patients

Locations

423 Skyland Blvd
Ste A7
Tuscaloosa, AL 35405
Phone (205) 202-0724

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1629238548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TOWNCENTER BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061824",
            "telephone_number": "205-650-0576",
            "fax_number": "205-764-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TOWNCENTER BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061824",
            "telephone_number": "205-650-0576",
            "fax_number": "205-764-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KELLY",
        "middle_name": "COUSETTE",
        "name_prefix": "Ms.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "COUSETTE",
            "middle_name": "RENA",
            "prefix": "MISS",
            "credential": "LPC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.