Individual provider Active NPI

Kristi Miller, MS LPC MS QMHP

  • Counselor
  • Sioux Falls, SD
National Provider Identifier
1033110663
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1033 Issued in SD
Practice address
1410 W 25TH St
Sioux Falls, SD 57105-1552
Phone
(605) 334-2696
Fax
(605) 339-9944
NPI assigned
Aug 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1033 SD Primary

Addresses

Primary practice location

1410 W 25TH St
Sioux Falls, SD 57105-1552

Mailing address

1410 W 25TH St
Sioux Falls, SD 57105-1552
Phone (605) 334-2696

Other identifiers 2

IdentifierTypeStateIssuer
218521034048OtherPREFERRED PME
31314OtherSIOUX VALLEY HEALTH PLAN

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1033SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Baptist Seminary PastSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033110663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W 25TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051552",
            "telephone_number": "605-334-2696",
            "fax_number": "605-339-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W 25TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051552",
            "telephone_number": "605-334-2696",
            "fax_number": "605-339-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTI",
        "credential": "MS LPC MS QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "1033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED PME",
            "identifier": "218521034048",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "31314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.