JACOB MILLS
NPI 1609486596
Psychologist in Dawes, WV

Active since August 05, 2020PECOS EnrolledAccepts Medicare Assignment
5722 CABIN CREEK RD, DAWES, WV 25054(304) 595-5006 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2021, Aug 5, 2020 (2 updates tracked since 2020).

About Jacob Mills NPPES

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

JACOB MILLS (NPI 1609486596) is an individual psychologist in Dawes, West Virginia and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609486596
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJACOB MILLS
Location Address5722 CABIN CREEK RDDawes, WV 25054-7700
Mailing Address104 Alex LnCharleston, WV 25304-2952
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 5, 2020
Last NPPES UpdateOctober 8, 20212 updates tracked since enumeration
NPPES CertifiedOctober 8, 2021
NPI 1609486596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedPsychologist · HealthTaxonomy 103TH0004X
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X
5722 CABIN CREEK RD, Dawes, WV 25054

Accepted Insurance

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

Jacob 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 ID5799139879
PECOS Enrollment IDI20230922001637
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.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
5722 CABIN CREEK RD
DAWES, WV 25054
Family Medicine
5722 CABIN CREEK RD
DAWES, WV 25054
Family Medicine
5722 CABIN CREEK RD
DAWES, WV 25054
Physician Assistant
5722 CABIN CREEK RD
DAWES, WV 25054
Psychologist (Clinical)
5722 CABIN CREEK RD
DAWES, WV 25054
Pharmacist
5722 CABIN CREEK RD
DAWES, WV 25054
Nurse Practitioner (Adult Health)
5722 CABIN CREEK RD
DAWES, WV 25054
Nurse Practitioner (Family)
5722 CABIN CREEK RD
DAWES, WV 25054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609486596, enumerated as an "individual" on August 05, 2020.

The provider is located at 5722 CABIN CREEK RD DAWES, WV 25054 and the phone number is (304) 595-5006.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: CareSource and Highmark Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.