Individual provider Active NPI

Mark Bretching Miller, LMFT

  • Addiction (Substance Use Disorder) Counselor
  • Louisville, KY
National Provider Identifier
1144888355
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
241563 Issued in KY
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

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
241563KYMDAddiction (Substance Use Disorder) Counselor
0827KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.