Lajosha Shrell Miller, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH7065 Issued in FL

Practice address

4570 C St Johna Ave
Ste 105
Jacksonville, FL 32210

Phone

(904) 742-9890

NPI assigned

Jul 2, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lajosha Shrell Haynes Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St Vincents Ambulatory Care Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1417987124
  Medicare reassignment NPD
• True Me Counseling, LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1639641228
  NPD (past) Authorized official
• St Vincents Ambulatory Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1679226690
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539993600000",
    "number": "1104138338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6797 GENTLE OAKS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322443691",
            "telephone_number": "904-742-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 C ST JOHNA AVE",
            "address_2": "STE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32210",
            "telephone_number": "904-742-9890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 Executive Center Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322072365",
            "country_code": "US",
            "telephone_number": "904-571-4798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAJOSHA",
        "middle_name": "SHRELL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2018-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH7065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAJOSHA",
            "last_name": "HAYNES",
            "middle_name": "SHRELL",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Christopher Miller
• Jordan Miller
• Julee Miller, A.P,, DOM,. LMT
• Kelli Renee Miller, CRNA
• Kena C Miller, ARNP
• Leslie Anne Miller
• Lisa L Miller, RPH
• Lolita Miller
• Luke Miller
• Maria Miller, DNP, APRN, PCNS-BC

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.