Active NPI
Mark Bretching Miller, LMFT
- Addiction (Substance Use Disorder) Counselor
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 241563
- Practice address
- 1402A Browns LN
Louisville, KY 40207-4609 - Phone
- (502) 894-0234
- Fax
- (502) 894-9858
- NPI assigned
- Jun 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0827 | KY | |
| Professional Counselor | 101YP2500X | 241563 | KY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 241563 | KY | Primary |
| Mental Health Counselor | 101YM0800X | 0827 | KY |
Addresses
Primary practice location
1402A Browns LN
Louisville, KY 40207-4609
Mailing address
1402A Browns LN
Louisville, KY 40207-4609
Phone (502) 894-0234
Other practice location 1
1018 Ival James Blvd Ste C
Richmond, KY 40475-8174
Phone (859) 575-1323
Other practice location 2
1990 Louisville Rd Ste 110
Bowling Green, KY 42101-1202
Phone (270) 782-2100
Other practice location 3
2645 Leitchfield Rd Ste 104
Elizabethtown, KY 42701-8306
Phone (270) 234-8180
Other practice location 4
2225 Lawrenceburg Rd Bldg C
Frankfort, KY 40601-9128
Phone (502) 352-2111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 241563 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 0827 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Behavioral Health Kentucky LLC | Past | Accepting new patients |
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.
-
- Methadone Clinic
- Louisville, KY
- NPI 1871027854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1144888355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402A BROWNS LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074609",
"telephone_number": "502-894-0234",
"fax_number": "502-894-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402A BROWNS LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074609",
"telephone_number": "502-894-0234",
"fax_number": "502-894-9858"
}
],
"practiceLocations": [
{
"address_1": "1018 Ival James Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404758174",
"country_code": "US",
"telephone_number": "859-575-1323",
"fax_number": "859-575-1325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1990 Louisville Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421011202",
"country_code": "US",
"telephone_number": "270-782-2100",
"fax_number": "270-782-2107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2645 Leitchfield Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "KY",
"postal_code": "427018306",
"country_code": "US",
"telephone_number": "270-234-8180",
"fax_number": "270-234-8179",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2225 Lawrenceburg Rd Bldg C",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "KY",
"postal_code": "406019128",
"country_code": "US",
"telephone_number": "502-352-2111",
"fax_number": "502-352-2113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MARK",
"middle_name": "BRETCHING",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-03",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "0827",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "241563",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "241563",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "0827",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.