Active NPI
Kimberly T Mills, LCPC
- Professional Counselor
- Annapolis, MD
National Provider Identifier
1710229729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2266
- Practice address
- 2525 Riva Rd Ste 142
Annapolis, MD 21401-7411 - Phone
- (443) 333-9340
- NPI assigned
- Mar 18, 2013
- Last updated
- Mar 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC2266 | MD | Primary |
Addresses
Primary practice location
2525 Riva Rd Ste 142
Annapolis, MD 21401-7411
Mailing address
2525 Riva Rd Ste 142
Annapolis, MD 21401-7411
Phone (443) 333-9340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8131 Ritchie Hwy
Suite G
Pasadena, MD 21122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2266 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC LTD | Current | Accepting new patients |
Locations
8131 Ritchie Hwy
Ste G
Pasadena, MD 21122
Phone (410) 360-4774
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1710229729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 RIVA RD STE 142",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017411",
"telephone_number": "443-333-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 RIVA RD STE 142",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017411",
"telephone_number": "443-333-9340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "KIMBERLY",
"middle_name": "T",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.