Individual provider Active NPI

Stephanie Miller, LCDCIII

  • Addiction (Substance Use Disorder) Counselor
  • Portsmouth, OH
National Provider Identifier
1083128763
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LICDC.162457 Issued in OH
Practice address
411 Court St
Portsmouth, OH 45662-3932
Phone
(740) 354-6685
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 161312 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDCIII.162302 OH
Social Worker 104100000X S.2208256 OH
Mental Health Counselor 101YM0800X QMHS OH
Case Manager/Care Coordinator 171M00000X CMS OH
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162457 OH Primary

Addresses

Primary practice location

411 Court St
Portsmouth, OH 45662-3932

Mailing address

411 Court St
Portsmouth, OH 45662-3932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260421000778 OH Practitioner - Clinical Social Worker 9537635107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

357 Buck Hollow Rd
Lucasville, OH 45648-8920

411 Court St
Portsmouth, OH 45662-3932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
161312OHMDAddiction (Substance Use Disorder) Counselor
LCDCIII.162302OHMDAddiction (Substance Use Disorder) Counselor
LICDC.162457OHMDAddiction (Substance Use Disorder) Counselor
QMHSOHMDMental Health Counselor
S.2208256OHMDSocial Worker
CMSOHMDCase Manager/Care Coordinator

Interoperability endpoints

  • Direct secure messaging: stephanie.miller.p1@direct.thecounselingcenter.nextgenshare.com

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": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1083128763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 COURT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 COURT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623932",
            "telephone_number": "740-354-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHANIE",
        "credential": "LCDCIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161312",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.162302",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2208256",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "QMHS",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "CMS",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.