Individual provider Active NPI

Anna Miller, M.A, NCC, LPC

  • Professional Counselor
  • Surprise, AZ
National Provider Identifier
1043597958
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17271 Issued in AZ
Practice address
16960 W Bell Rd Ste 502
Surprise, AZ 85374-8937
Phone
(760) 498-3077
NPI assigned
Nov 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.007411 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X 25577 IL
Professional Counselor 101YP2500X 17271 AZ Primary

Addresses

Primary practice location

16960 W Bell Rd Ste 502
Surprise, AZ 85374-8937

Mailing address

27810 N 175TH Dr
Surprise, AZ 85387-1159
Phone (760) 498-3077

Other practice location 1

27810 N 175th Dr
Surprise, AZ 85387-1159
Phone (262) 308-1332

Other names 1

  • Anna Randle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115000132 AZ Practitioner - Mental Health Counselor 8224480355 Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.007411ILMDCounselor
25577ILMDAddiction (Substance Use Disorder) Counselor
17271AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Ears Hearing Center PastSince Nov 6, 2017 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": "1320451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1043597958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27810 N 175TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853871159",
            "telephone_number": "760-498-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16960 W BELL RD STE 502",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748937",
            "telephone_number": "760-498-3077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27810 N 175th Dr",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853871159",
            "country_code": "US",
            "telephone_number": "262-308-1332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANNA",
        "credential": "M.A, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-05",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.007411",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "25577",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "17271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "RANDLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.