WILLIAM MILLS
NPI 1104377878
Counselor - Mental Health in Minneapolis, MN

Active since October 18, 2016PECOS EnrolledAccepts Medicare Assignment
1804 10TH AVE S, MINNEAPOLIS, MN 55404(612) 747-9561 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About William Mills NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM MILLS (NPI 1104377878) is an individual mental health provider in Minneapolis, Minnesota, licensed in Minnesota (2826) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1104377878
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWILLIAM MILLS
Location Address1804 10TH AVE SMinneapolis, MN 55404-2001
Mailing Address1804 10th Ave SMinneapolis, MN 55404-2001 · (612) 747-9561
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 18, 2016
✔ NPI 1104377878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 2826
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 303367
1804 10TH AVE S, Minneapolis, MN 55404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William Mills is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870938707
PECOS Enrollment IDI20240229003741
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show William Mills reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
2497 7TH AVE E, SUITE 101
North Saint Paul, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 42 clinicians in this Medicare group
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Brightside Medical PA
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Mills's NPI number?

The NPI number for William Mills is 1104377878. It was assigned to this individual provider in the NPPES registry on October 18, 2016.

Where is William Mills located?

William Mills practices at 1804 10th Ave S, Minneapolis, MN 55404. The listed phone number is (612) 747-9561.

What is William Mills's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is William Mills enrolled in Medicare?

Yes. William Mills is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for William Mills's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Mills reassigns Medicare benefits to 2 organizations: Bhsi, LLC (North Saint Paul, MN) and Brightside Medical, P.A. (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Mills's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Mills accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, HealthPartners and UnitedHealthcare list William Mills as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Mills was last updated on October 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.