Active NPI
Haley Lauren Mills
- Psychiatric/Mental Health Nurse Practitioner
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 219356
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219356 | Other | AR | ARKANSAS BOARD OF NURSING |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Practice: Therapeutic Counseling Services | Current | Accepting new patients | |
| Chenal Family Therapy, PLC | Current | Accepting new patients | |
| Renew Mental Health and Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Renew Mental Health and Wellness, LLC | Current | Accepting new patients | |
| Transitions Counseling Clinic PLC | Past | 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.
-
- Mental Health Counselor
- Little Rock, AR
- NPI 1356604219
-
- Psychiatric/Mental Health Nurse Practitioner
- Jonesboro, AR
- NPI 1447817572
-
- Specialist
- Jonesboro, AR
- NPI 1467134007
-
- Mental Health Counselor
- Jonesboro, AR
- NPI 1548895667
-
- Professional Counselor
- De Queen, AR
- NPI 1902501281
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.