Jennifer Nicole Mills

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2761 Issued in WV

Practice address

1293 Cottonwood Dr
Keyser, WV 26726-9658

Phone

(304) 223-8851

NPI assigned

Jul 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1710463252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 COTTONWOOD DR",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267269658",
            "telephone_number": "304-223-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 COTTONWOOD DR",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267269658",
            "telephone_number": "304-223-8851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080432330",
            "country_code": "US",
            "telephone_number": "856-248-0424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "2761",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00809200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiersten Paige Miller
• Mark Todd Miller
• Mary Miller
• Tina Michelle Miller
• Carita Rachelle Mills, ATC
• Mineral County Board of Education
• Mineral County Board of Health
• Mineral County Board of Health
• Mineral County Community Corrections
• Mineral County Emergency Medical Services

• All providers in Keyser, WV
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.