Active NPI
Michael Miller, LPC
- Professional Counselor
- Columbia, SC
National Provider Identifier
1073119962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 101YP2500X
- Practice address
- 200 Springtree Dr Ste 200
Columbia, SC 29223-8614 - Phone
- (803) 722-4975
- NPI assigned
- Dec 7, 2020
- 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 | 101YP2500X | SC | Primary |
Addresses
Primary practice location
200 Springtree Dr Ste 200
Columbia, SC 29223-8614
Mailing address
200 Springtree Dr Ste 200
Columbia, SC 29223-8614
Phone (803) 722-4975
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
| License | State | Type | Specialty |
|---|---|---|---|
| 101YP2500X | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1073119962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SPRINGTREE DR STE 200",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292238614",
"telephone_number": "803-722-4975",
"fax_number": "803-722-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SPRINGTREE DR STE 200",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292238614",
"telephone_number": "803-722-4975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHAEL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "101YP2500X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.