Individual provider Active NPI

Jodie R Miller, LPC

  • Professional Counselor
  • Baton Rouge, LA
National Provider Identifier
1063708683
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3292 Issued in LA
Practice address
8211 Summa Ave
Suite F
Baton Rouge, LA 70809-3471
Phone
(225) 761-1970
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204004284 CO Practitioner - Mental Health Counselor 7416440631 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Foothills Health LLC CurrentSince Nov 1, 2025 Accepting new patients
Foothills Health LLC CurrentSince Nov 1, 2025 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 and National Provider Directory roles.

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

Verify at the official NPI Registry.