WILLIAM MILLS – Mental Health Counselor, NPI 1104377878

WILLIAM MILLS is a healthcare provider. based in Minneapolis, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 303367 (). The NPI Number for WILLIAM MILLS is 1104377878

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM MILLS
NPI
1104377878
Phone
(612) 747-9561
Address
1804 10TH AVE S
Enumeration Date
18 October 2016
Last Update Date
18 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517696200
Graduation Year
2010 (16 years ago)
PAC ID
3870938707
Group Practice PAC ID
3274504816
Professional Enrollment ID
I20240229003741
Address ID
MN551224302EA3460XDRXX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for WILLIAM MILLS

  • 1804, 10th Avenue South, Phillips West, Phillips, Minneapolis, Hennepin County, Minnesota, 55404, United States

    MINNEAPOLIS, MN 554042001

    Phone: (612) 747-9561

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240229003741IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274504816View full group profile
NameSpecialtyState
-MN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Physician AssistantAZ
P S Y C H I A T R YMN
Mental Health CounselorMN
Clinical Social WorkerMN
Nurse PractitionerMN
Clinical PsychologistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Does WILLIAM MILLS have a public NPI I can cite?
Public records show WILLIAM MILLS under NPI 1104377878.
Quick check: is WILLIAM MILLS active?
Public NPPES data shows WILLIAM MILLS with an active NPI status right now.
What type of care does WILLIAM MILLS provide?
WILLIAM MILLS's profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit WILLIAM MILLS in Minneapolis, Minnesota?
For routing, start with Minneapolis, Minnesota for WILLIAM MILLS, then verify phone and hours locally.
Can I export WILLIAM MILLS's record?
You can download the official NPPES record; we summarize key fields for readability.

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