Active NPI
Marilyn Kay Mills, LCMHC
- Mental Health Counselor
- Middletown, CT
National Provider Identifier
1639214323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 68000187
- Practice address
- 138 Broad St
Middletown, CT 06457-3328 - Phone
- (860) 347-7320
- NPI assigned
- Feb 20, 2007
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 68000187 | VT | Primary |
| Professional Counselor | 101YP2500X | 001548 | CT |
Addresses
Primary practice location
138 Broad St
Middletown, CT 06457-3328
Mailing address
138 Broad St
Downstairs
Middletown, CT 06457-3328
Phone (860) 347-7320
Other names 1
- Marilyn Kay Shannon
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 |
|---|---|---|---|
| 68000187 | VT | MD | Mental Health Counselor |
| 001548 | CT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1639214323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 BROAD ST",
"address_2": "DOWNSTAIRS",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573328",
"telephone_number": "860-347-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 BROAD ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573328",
"telephone_number": "860-347-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "MARILYN",
"middle_name": "KAY",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "68000187",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001548",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARILYN",
"last_name": "SHANNON",
"middle_name": "KAY",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.