Individual provider Active NPI

Carol A Miller-Weiner, M.S.W., L.S.W.

  • Mental Health Counselor
  • Canonsburg, PA
National Provider Identifier
1043310576
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW009543L Issued in PA
Practice address
20 E Pike St
Suite Lla
Canonsburg, PA 15317-1366
Phone
(724) 873-1220
NPI assigned
Sep 24, 2006
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
Mental Health Counselor 101YM0800X SW009543L PA Primary

Addresses

Primary practice location

20 E Pike St
Suite Lla
Canonsburg, PA 15317-1366

Mailing address

20 E Pike St
Suite Lla
Canonsburg, PA 15317-1366
Phone (724) 873-1220

Other identifiers 5

IdentifierTypeStateIssuer
2090272OtherMNCIGNA HEALTHCARE/CIGNA BE
7800193OtherTXAETNA
893536OtherPAHIGHMARK
224607OtherKYMANAGED HEALTH NETWORK
457864OtherPAVBH-PA/VALUE OPTIONS

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

State licenses

LicenseStateTypeSpecialty
SW009543LPAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Counseling Associates, P.C. Past 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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043310576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E PIKE ST",
            "address_2": "SUITE LLA",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171366",
            "telephone_number": "724-873-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E PIKE ST",
            "address_2": "SUITE LLA",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171366",
            "telephone_number": "724-873-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-WEINER",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW009543L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE/CIGNA BE",
            "identifier": "2090272",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7800193",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "893536",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "224607",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBH-PA/VALUE OPTIONS",
            "identifier": "457864",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

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.