Individual provider Active NPI

Victoria Jolene Miller, LPC

  • Professional Counselor
  • Wasilla, AK
National Provider Identifier
1144485194
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
401 W Fallen Leaf Cir
Wasilla, AK 99654-7989
Phone
(866) 210-8282
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

401 W Fallen Leaf Cir
Wasilla, AK 99654-7989

Mailing address

2521 E. MTN Village Dr.
Ste B PMB 287
Wasilla, AK 99654-7989
Phone (866) 210-8282

Other identifiers 1

IdentifierTypeStateIssuer
1020986MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://sendsafe.to/victoria.miller@lillaconline.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20240220002823 AK Practitioner - Mental Health Counselor 3274977038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3130 W Discovery Loop
Wasilla, AK 99654-3130
Phone (866) 210-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lillac Counseling Services, LLC Mental Health CurrentSince Nov 23, 2023 Accepting new patients

Locations

2521 E Mountain Village Dr
Ste B
Wasilla, AK 99654

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1144485194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 E. MTN VILLAGE DR.",
            "address_2": "STE B PMB 287",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547989",
            "telephone_number": "866-210-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W FALLEN LEAF CIR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547989",
            "telephone_number": "866-210-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VICTORIA",
        "middle_name": "JOLENE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020986",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sendsafe.to/victoria.miller@lillaconline.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 W Fallen Leaf Cir",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.