Organization Active NPI

Mills Counseling, PLLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1881995850
Registry record updated Dec 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006800 Issued in NC
Legal business name
MILLS COUNSELING, PLLC
Practice address
4425 Randolph Rd
Suite 305
Charlotte, NC 28211-2351
Phone
(704) 964-8170
Fax
(704) 910-2720
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2012

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

Authorized official

Name
Ashley Caroline Mills, MSW, LCSW
Title
Sole Owner
Phone
(704) 964-8170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C006800 NC Primary

Addresses

Primary practice location

4425 Randolph Rd
Suite 305
Charlotte, NC 28211-2351

Mailing address

9233 Rotherham LN
Charlotte, NC 28216-1774
Phone (704) 964-8170

Other identifiers 1

IdentifierTypeStateIssuer
6007561OtherNCINDIVIDUAL MEDICAID NUMBER

National Provider Directory

National Provider Directory

Locations

4425 Randolph Rd
Ste 217
Charlotte, NC 28211
Phone (704) 964-8170

4425 Randolph Rd
Ste 305
Charlotte, NC 28211
Phone (704) 964-8170

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356825600000",
    "number": "1881995850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 ROTHERHAM LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161774",
            "telephone_number": "704-964-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 RANDOLPH RD",
            "address_2": "SUITE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112351",
            "telephone_number": "704-964-8170",
            "fax_number": "704-910-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2012-12-30",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "704-964-8170",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICAID NUMBER",
            "identifier": "6007561",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2012; 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.