Organization Active NPI

Rebecca Miller LLC

  • Professional Counselor
  • Boscobel, WI
National Provider Identifier
1013490101
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
REBECCA MILLER LLC
Practice address
406 Elm St
Boscobel, WI 53805-1216
Phone
(608) 391-2436
NPI assigned
Sep 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca Miller, LPCNPI 1720470354
Title
Provider/Owner
Phone
(608) 391-2436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

406 Elm St
Boscobel, WI 53805-1216

Mailing address

406 Elm St
Boscobel, WI 53805-1216
Phone (608) 391-2436

Other identifiers 1

IdentifierTypeStateIssuer
1720470354MedicaidWI

National Provider Directory

National Provider Directory

Locations

406 Elm St
Boscobel, WI 53805
Phone (608) 375-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1013490101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 ELM ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051216",
            "telephone_number": "608-391-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 ELM ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051216",
            "telephone_number": "608-391-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA MILLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "608-391-2436",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720470354",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boscobel, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.