Individual provider Active NPI

Veronica Marie Miller, M.ED, LPC, SCHOOL PS

  • Professional Counselor
  • McAlester, OK
National Provider Identifier
1093025413
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2687 Issued in OK
Practice address
106 S 3Rd St
McAlester, OK 74501-5300
Phone
(918) 421-8880
Fax
(918) 421-8929
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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 2687 OK Primary

Addresses

Primary practice location

106 S 3Rd St
McAlester, OK 74501-5300

Mailing address

106 S 3Rd St
McAlester, OK 74501-5300
Phone (918) 421-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240131003611 OK Practitioner - Mental Health Counselor 9335592807 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2687OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Development, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

106 S 3rd St
McAlester, OK 74501
Phone (918) 421-8880

1105 Memorial Dr
Ste 202
Denison, TX 75020
Phone (903) 337-0343

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": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1093025413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S 3RD ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015300",
            "telephone_number": "918-421-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S 3RD ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015300",
            "telephone_number": "918-421-8880",
            "fax_number": "918-421-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VERONICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, LPC, SCHOOL PS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "2687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.