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KELLYE MARIE MILLS LPC, NCC
NPI 1336901800
Counselor - Professional in Canton, GA

Active since January 29, 2024PECOS EnrolledAccepts Medicare Assignment
135 GOLD MILL PL, CANTON, GA 30114(678) 644-0997 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellye Marie Mills Lpc, Ncc NPPES

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

KELLYE MARIE MILLS LPC, NCC (NPI 1336901800) is an individual professional provider in Canton, Georgia, licensed in Georgia (LPC014391) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336901800
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLYE MARIE MILLSCredential: LPC, NCC
Location Address135 GOLD MILL PLCanton, GA 30114-4025
Mailing Address135 Gold Mill PlCanton, GA 30114-4025 · (678) 481-3315
Phone(678) 644-0997
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1336901800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC014391
135 GOLD MILL PL, Canton, GA 30114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kellye Marie Mills Lpc, Ncc 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 ID8224541628
PECOS Enrollment IDI20250630001943
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.

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 Kellye Mills's NPI number?

The NPI number for Kellye Mills is 1336901800. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Where is Kellye Mills located?

Kellye Mills practices at 135 Gold Mill Pl, Canton, GA 30114. The listed phone number is (678) 644-0997.

What is Kellye Mills's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kellye Mills enrolled in Medicare?

Yes. Kellye 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.

When was this NPI record last updated?

The NPPES record for Kellye Mills was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.