Individual provider Active NPI

Katelyn Mills

  • Mental Health Counselor
  • Oxford, MI
National Provider Identifier
1770354557
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451023402 Issued in MI
Practice address
6 S Washington St
Oxford, MI 48371-6425
Phone
(248) 834-0614
NPI assigned
Jan 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6451023402 MI Primary

Addresses

Primary practice location

6 S Washington St
Oxford, MI 48371-6425

Mailing address

25 Louck St Apt 20
Oxford, MI 48371-4680
Phone (906) 203-8943

Other practice location 1

244 W Park St
Lapeer, MI 48446-2164
Phone (248) 834-0614

Other practice location 2

232 S Main St
Romeo, MI 48065-5129
Phone (248) 834-0614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260430003148 MI Practitioner - Mental Health Counselor 9234606872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weber and Devers Psychological Services PCGroup PAC ID 3870575624, 7 clinicians

Practice addresses (Care Compare)

605 E 7TH Ave
Apt 9
Sault Sainte Marie, MI 49783-3111
Phone (906) 635-7270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451023402MIMDMental Health Counselor

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1770354557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LOUCK ST APT 20",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714680",
            "telephone_number": "906-203-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S WASHINGTON ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716425",
            "telephone_number": "248-834-0614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 W Park St",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484462164",
            "country_code": "US",
            "telephone_number": "248-834-0614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 S Main St",
            "address_purpose": "LOCATION",
            "city": "Romeo",
            "state": "MI",
            "postal_code": "480655129",
            "country_code": "US",
            "telephone_number": "248-834-0614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KATELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

Verify at the official NPI Registry.