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Kymberli Dawn Mills , MS, QMHP, LPC

Counselor - Professional β€’ Boardman, OR

Active NPI 1982149647 Individual Practitioner Female Practitioner
Practice location in NPPES

104 Sw Kinkade Rd
Boardman, OR 97818

Call 5414812911 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

104 Sw Kinkade Rd

Boardman, OR 97818

Telephone 5414812911
Fax 5414812006
Organization at the Same NPPES Address or Phone
Community Counseling Solutions Facility NPI 1023402351

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Saint Helens, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Kymberli Mills as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Boardman and Oregon

6 active clinicians are listed under Counselor - Professional with a practice address in Boardman, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C8045
Peer Specialist

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OR THW000002263

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

58581 Columbia River Hwy

Saint Helens, OR 970513225

Phone: 9712300156

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2024

Peer Specialist (license number reported to NPPES: OR THW000002263)

πŸ“
Updated Practice Location March 25, 2024

Registered at 104 SW KINKADE RD, BOARDMAN, OR 97818 (Tel: 5414812911)

πŸ“
Updated Business Mailing Address March 25, 2024

Registered at PO BOX 469, HEPPNER, OR 978360469 (Tel: 5416769161)

πŸ‘€
Provider Name / Credentials Updated March 25, 2024

Recorded as KYMBERLI MILLS, MS, QMHP, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2024

Counselor

πŸ“
Updated Practice Location January 25, 2022

Registered at 58581 COLUMBIA RIVER HWY, SAINT HELENS, OR 970513225 (Tel: 9712300156)

πŸ“
Updated Business Mailing Address January 25, 2022

Registered at 1246 NW COUCH ST, CAMAS, WA 986071550 (Tel: 5413141921)

πŸ‘€
Provider Name / Credentials Updated January 25, 2022

Recorded as KYMBERLI MILLS, MS, QMHP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2022

Specialist

πŸ“
Updated Practice Location February 03, 2021

Registered at 1610 WOODS CT, HOOD RIVER, OR 970312911 (Tel: 5411674223)

πŸ“
Updated Business Mailing Address February 03, 2021

Registered at PO BOX 58, STEVENSON, WA 986480058 (Tel: 5413141921)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2021

Counselor

βœ…
NPI Profile Active January 04, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 04, 2017

Registered at 104 S. W. KINKADE ROAD, BOARDMAN, OR 97818 (Tel: 5414812911)

πŸ“
Business Mailing Address (Initial Record) January 04, 2017

Registered at 250 NE MARSHALL LOOP, BOARDMAN, OR 978189765 (Tel: 5413141921)

πŸ‘€
Provider Name / Credentials (Initial Record) January 04, 2017

Recorded as KYMBERLI EREVIA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2017

Specialist

🟒
Initial NPI Registration & Enumeration January 04, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982149647
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2017
Last Update: October 07, 2024
Sole Proprietor: No

Mailing Address

Po Box 469

Heppner, OR 978360469

Phone: 5416769161

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.