Individual provider Active NPI

Kimberly T Mills, LCPC

  • Professional Counselor
  • Annapolis, MD
National Provider Identifier
1710229729
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2266 Issued in MD
Practice address
2525 Riva Rd Ste 142
Annapolis, MD 21401-7411
Phone
(443) 333-9340
NPI assigned
Mar 18, 2013
Last updated
Mar 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825004031 MD Practitioner - Mental Health Counselor 9436659265 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LC2266MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
PCC LTD CurrentSince Aug 6, 2025 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

Verify at the official NPI Registry.