Active NPI
Kristen Ann Miller, BSAC
- Mental Health Counselor
- Hammond, LA
National Provider Identifier
1013432681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 44617 S Airport Rd
Hammond, LA 70403-0311 - Phone
- (985) 429-7611
- Fax
- (985) 429-7616
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
44617 S Airport Rd
Hammond, LA 70403-0311
Mailing address
44617 S Airport Rd
Hammond, LA 70403-0311
Phone (985) 429-7611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4036 | Other | LA | LOUISIANA ADDICTIVE DISORDERS REGULATORY AUTHORITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501804800000",
"number": "1013432681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44617 S AIRPORT RD",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704030311",
"telephone_number": "985-429-7611",
"fax_number": "985-429-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44617 S AIRPORT RD",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704030311",
"telephone_number": "985-429-7611",
"fax_number": "985-429-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KRISTEN",
"middle_name": "ANN",
"credential": "BSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2017-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA ADDICTIVE DISORDERS REGULATORY AUTHORITY",
"identifier": "4036",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.