Jetaun Mills

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

105352 Issued in CA

Practice address

2700 International Blvd Ste 22
Oakland, CA 94601-1508

Phone

(510) 423-3493

NPI assigned

Jan 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Invisible Womb Holistic & Integrative Marriage & Family Therapy, Inc

  • Marriage & Family Therapist
  • Benicia, CA
  • NPI 1184486946
  NPD Authorized official
• Sister-to-Sister 2, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Oakland, CA
  • NPI 1497247977
  NPD Authorized official
• Pleasanton Allergy and Dermatology Inc

  • Specialist
  • Pleasanton, CA
  • NPI 1134466899
  NPD

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1942698352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PANORAMA DR",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945101523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 INTERNATIONAL BLVD STE 22",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011508",
            "telephone_number": "510-423-3493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2363A San Pablo Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121136",
            "country_code": "US",
            "telephone_number": "510-423-3493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2363A San Pablo Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121136",
            "country_code": "US",
            "telephone_number": "510-423-3493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Allston Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947021833",
            "country_code": "US",
            "telephone_number": "510-845-9010 x233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JETAUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Lee Millick
• Millie'S Youth Services, Inc.
• Derek Anthony Millner
• Debra Mills Ray, RN
• Jeannine Mills
• John Mills
• Madison Vernetti Mills
• Ronald Mills Jr.
• Taliyha Renee Mills
• Cassandra Millspaugh, AMFT

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.