Individual provider Active NPI

Haley Lauren Mills

  • Psychiatric/Mental Health Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1922758259
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
219356 Issued in AR
Practice address
210 Cate Ave
Jonesboro, AR 72401-2936
Phone
(870) 206-7300
Fax
(870) 206-7300
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 219356 AR Primary

Addresses

Primary practice location

210 Cate Ave
Jonesboro, AR 72401-2936

Mailing address

542 County Road 221
Jonesboro, AR 72404-0558
Phone (870) 512-9439

Other practice location 1

1150 E Matthews Ave
Jonesboro, AR 72401-4346
Phone (870) 243-0424

Other identifiers 1

IdentifierTypeStateIssuer
219356OtherARARKANSAS BOARD OF NURSING

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address haleym@renewmh.com Health Information Exchange (HIE) RENEW MENTAL HEALTH AND WELLNESS LLC
Direct Messaging Address mandy@thepracticecounseling.org Health Information Exchange (HIE) The Practice: Therapeutic Counseling Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220407000370 AR Practitioner - Nurse Practitioner 5496141053 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Practice: Therapeutic Counseling Services CurrentSince Nov 10, 2024 Accepting new patients
Chenal Family Therapy, PLC CurrentSince Oct 4, 2022 Accepting new patients
Renew Mental Health and Wellness LLC Psychiatric/Mental Health CurrentSince Mar 29, 2022 Accepting new patients
Renew Mental Health and Wellness, LLC CurrentSince Mar 29, 2022 Accepting new patients
Transitions Counseling Clinic PLC PastSince Apr 9, 2023 Accepting new patients

Locations

304 W Collin Raye Dr
Ste 103A
De Queen, AR 71832
Phone (870) 200-9294

210 Cate Ave
Jonesboro, AR 72401
Phone (870) 206-7300

1150 E Matthews Ave
Ste 101A
Jonesboro, AR 72401
Phone (870) 243-0424

10311 W Markham St
Little Rock, AR 72205
Phone (501) 681-3300

Organizations & group practices 5

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1922758259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 COUNTY ROAD 221",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724040558",
            "telephone_number": "870-512-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CATE AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012936",
            "telephone_number": "870-206-7300",
            "fax_number": "870-206-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 E Matthews Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724014346",
            "country_code": "US",
            "telephone_number": "870-243-0424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "HALEY",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "219356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BOARD OF NURSING",
            "identifier": "219356",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "haleym@renewmh.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "RENEW MENTAL HEALTH AND WELLNESS LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "1150 E Matthews Ave",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724014346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mandy@thepracticecounseling.org",
            "affiliation": "Y",
            "endpointDescription": "Clinical Director email",
            "affiliationName": "The Practice: Therapeutic Counseling Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "210 Cate Ave",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724012936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.