Active NPI
Rebecca Miller LLC
- Professional Counselor
- Boscobel, WI
National Provider Identifier
1013490101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Miller, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720470354 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Richland Center, WI
- NPI 1720470354
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.