Mia Ulmer Earle, LPC, ATR-BC, CCTP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8263 Issued in SC

Practice address

356 Quiet Grove Dr
Lexington, SC 29072-8291

Phone

(803) 308-3382

NPI assigned

May 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mia Janay Ulmer Former name

Medicare fee-for-service enrollment

Enrolled in GA

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.

• Inpatient Psychology Solutions LLC

  • Psychologist
  • Augusta, GA
  • NPI 1497383152
  Medicare reassignment NPD

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

{
    "created_epoch": "1653696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1124767181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 QUIET GROVE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728291",
            "telephone_number": "803-308-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 QUIET GROVE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728291",
            "telephone_number": "803-308-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLE",
        "first_name": "MIA",
        "middle_name": "ULMER",
        "credential": "LPC, ATR-BC, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-28",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "014680",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIA",
            "last_name": "ULMER",
            "middle_name": "JANAY",
            "credential": "LPC, ATR-BC, CCTP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Ashley Dyson, BA
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• Amber Tourville Edens, MA,CCC-SLP
• Marshal Edrada, PTA
• Amanda Lauren Edwards, PT
• Christina Jocklene Edwards, AGPCNP-C

• Professional Counselor in Lexington, SC
• Providers in Lexington, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.