Bethany Miller
Individual provider Active NPI Mental Health Counselor · Howard City, MI
NPI 1124785589 · NPPES record last updated Nov 19, 2021
Key facts
- NPI
- 1124785589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6401019256 (MI)
- Practice address
- 5856 Federal Rd
Howard City, MI 49329-8635 - Phone
- (616) 608-6751
- NPI assigned
- Nov 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401019256 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LJ Counseling Services LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401019256 | MI | Yes |
Addresses
Primary practice location
5856 Federal Rd
Howard City, MI 49329-8635
Mailing address
10854 196TH Ave
Big Rapids, MI 49307-9422
Phone (231) 629-8139
Other providers in Howard City, MI
- Thomas McPherson
- Medics P.C.
- Medics PC
- Medics PC
- Michigan Home Help Agency Inc
- Olivia Kathleen Althea Polinski
- Lea Kaye Porter
- Megan Price
- Rapids Ophthalmology, P.C.
- Meagan Ross
All providers in Howard City, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.