Amy A Miles, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6831-125 Issued in WI

Practice address

W62 N248 Washington Avenue
Suite#207
Cedarburg, WI 53012-2765

Phone

(262) 375-1116

Fax

(262) 375-1071

NPI assigned

Jun 5, 2018

Last updated

Jun 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northshore Clinic & Consultants, Inc.

  • Community/Behavioral Health Agency
  • Cedarburg, WI
  • NPI 1720201163
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1194217109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W62 N248 WASHINGTON AVENUE",
            "address_2": "SUITE#207",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122765",
            "telephone_number": "262-375-1116",
            "fax_number": "262-375-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W62 N248 WASHINGTON AVENUE",
            "address_2": "SUITE#207",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122765",
            "telephone_number": "262-375-1116",
            "fax_number": "262-375-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "AMY",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6831-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria N Mendoza-Lemes, MD
• Sarayu Meraki, LPC
• Donald J. Meyer, D.O.
• Susan Elaine Miazga, RPH
• Susan Diane Michler, MS CCC SLP
• Boyd Miller, MD
• Jessica Leigh Minder, DPM
• Carol Martha Miracle, PHYSICAL THERAPIST
• Lindsey Ann Mongoven, M.S., CCC-SLP
• Edwin Montgomery, MD

• Professional Counselor in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.