Active NPI
Jodie R Miller, LPC
- Professional Counselor
- Baton Rouge, LA
National Provider Identifier
1063708683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3292
- Practice address
- 8211 Summa Ave
Suite F
Baton Rouge, LA 70809-3471 - Phone
- (225) 761-1970
- NPI assigned
- Jun 22, 2011
- Last updated
- Dec 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3292 | LA | Primary |
Addresses
Primary practice location
8211 Summa Ave
Suite F
Baton Rouge, LA 70809-3471
Mailing address
11580 Perkins Rd
Apt 166
Baton Rouge, LA 70810-1838
Phone (337) 250-5579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1527 Cole Blvd
Suite 275
Lakewood, CO 80401-3411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Health LLC | Current | Accepting new patients | |
| Foothills Health LLC | Current | Accepting new patients |
Locations
14291 E 4th Ave
#7200
Aurora, CO 80011
Phone (720) 514-2234
1527 Cole Blvd
Ste 275
Lakewood, CO 80401
Phone (402) 670-3975
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1063708683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11580 PERKINS RD",
"address_2": "APT 166",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708101838",
"telephone_number": "337-250-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8211 SUMMA AVE",
"address_2": "SUITE F",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093471",
"telephone_number": "225-761-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JODIE",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.