Organization Active NPI

Kathleen Miller, LSW, PSC

  • Community/Behavioral Health Agency
  • Altoona, PA
National Provider Identifier
1174838668
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW127247 Issued in PA
Legal business name
KATHLEEN MILLER, LSW, PSC
Practice address
Ida Towers Ofc 101012TH
Altoona, PA 16601-3411
Phone
(814) 505-4241
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Mrs. Kathleen Brighid Miller, LCSWNPI 1629305958
Title
Sole Proprietor
Phone
(814) 505-4241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW127247 PA Primary

Addresses

Primary practice location

Ida Towers Ofc 101012TH
Altoona, PA 16601-3411

Mailing address

120 Evergreen LN
Martinsburg, PA 16662-7059
Phone (814) 505-4241

Other identifiers 1

IdentifierTypeStateIssuer
102394936 0001OtherPAMA NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1174838668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EVERGREEN LN",
            "city": "MARTINSBURG",
            "state": "PA",
            "postal_code": "166627059",
            "telephone_number": "814-505-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IDA TOWERS OFC 101012TH",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013411",
            "telephone_number": "814-505-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN MILLER, LSW, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "BRIGHID",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "814-505-4241",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "SW127247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA NUMBER",
            "identifier": "102394936 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.