Individual provider Active NPI

Marjorie S. Mills, LPC

  • Professional Counselor
  • Wexford, PA
National Provider Identifier
1992852651
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004320 Issued in PA
Practice address
117 Vip Dr Ste 310
Wexford, PA 15090-6936
Phone
(724) 934-3905
Fax
(724) 934-3906
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC004320 PA Primary

Addresses

Primary practice location

117 Vip Dr Ste 310
Wexford, PA 15090-6936

Mailing address

2205 Rockledge St
Pittsburgh, PA 15212-3159
Phone (412) 266-8210

Other identifiers 1

IdentifierTypeStateIssuer
PC004320OtherPAPROFESSIONAL COUNSELOR LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Wexford

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC004320PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meier Clinics Foundation Professional Past Accepting new patients

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1992852651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 ROCKLEDGE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152123159",
            "telephone_number": "412-266-8210",
            "fax_number": "724-934-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VIP DR STE 310",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906936",
            "telephone_number": "724-934-3905",
            "fax_number": "724-934-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "MARJORIE",
        "middle_name": "S.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR LICENSE",
            "identifier": "PC004320",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wexford",
            "affiliation": "N",
            "address_1": "117 Vip Dr Ste 310",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150906936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.