Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Mills

Individual provider Health Psychologist · NPI 1609486596

Jacob Mills is a Clinical Psychologist in Dawes, West Virginia. Qualified in 2020, 6 years ago. Practices with Cabin Creek Health Center Inc, a 45-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
Specialties on file
3

Practice location Address checks out

5722 Cabin Creek Rd
Dawes, WV 25054-7700
Phone: (304) 595-5006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Health Psychologist Taxonomy 103TH0004X
Health Service Psychologist Taxonomy 103TH0100X

Record details

NPI number1609486596
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2020
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021
Mailing address104 Alex Ln, Charleston, WV 25304-2952

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cabin Creek Health Center Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount