Organization Active NPI

Jodi W Miller, LMHC, PA

  • Mental Health Counselor
  • Lake Mary, FL
National Provider Identifier
1205456563
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JODI W MILLER, LMHC, PA
Practice address
3300 W Lake Mary Blvd Ste 340
Lake Mary, FL 32746-3405
Phone
(304) 609-2256
Fax
(321) 926-3228
NPI assigned
Apr 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Jodi W Miller, LMHCNPI 1912959222
Title
Provider
Phone
(304) 609-2256

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3300 W Lake Mary Blvd Ste 340
Lake Mary, FL 32746-3405

Mailing address

8267 Day Lily PL
Sanford, FL 32771-8129
Phone (407) 810-0984

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": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1205456563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8267 DAY LILY PL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718129",
            "telephone_number": "407-810-0984",
            "fax_number": "321-926-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W LAKE MARY BLVD STE 340",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463405",
            "telephone_number": "304-609-2256",
            "fax_number": "321-926-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODI W MILLER, LMHC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "304-609-2256",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.