Individual provider Active NPI

Laura Marie Miller, LCPC

  • Professional Counselor
  • Crystal Lake, IL
National Provider Identifier
1134716137
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.015479 Issued in IL
Practice address
1095 Pingree Rd Ste 202
Crystal Lake, IL 60014-1727
Phone
(224) 456-9356
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-23546 AZ
Professional Counselor 101YP2500X 180.015479 IL Primary

Addresses

Primary practice location

1095 Pingree Rd Ste 202
Crystal Lake, IL 60014-1727

Mailing address

1095 Pingree Rd Ste 202
Crystal Lake, IL 60014-1727
Phone (224) 456-9356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-23546AZMDProfessional Counselor
180.015479ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Unbound Counseling Services, PLLC Current Accepting new patients
Lakeview Counseling Services CurrentSince Dec 27, 2020 Accepting new patients
Midwest Post Acute Care PLLC PastSince Dec 27, 2020 Accepting new patients

Locations

1095 Pingree Rd
Ste 202
Crystal Lake, IL 60014
Phone (224) 456-9356

Organizations & group practices 3

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": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1134716137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 PINGREE RD STE 202",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141727",
            "telephone_number": "224-456-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 PINGREE RD STE 202",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141727",
            "telephone_number": "224-456-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23546",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.