Active NPI
Lysa R Miley
- Social Worker
- Ontario, OR
National Provider Identifier
1205506540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 992 W Idaho Ave
Ontario, OR 97914-2111 - Phone
- (208) 741-3336
- Fax
- (541) 216-5066
- NPI assigned
- Sep 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
992 W Idaho Ave
Ontario, OR 97914-2111
Mailing address
3720 W Woodmont Dr
Meridian, ID 83646-1033
Phone (209) 703-0050
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Counseling & Therapy | Past | Accepting new patients | |
| Insight Matters, Inc | Social Worker | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Payette, ID
- NPI 1104350511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1205506540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 W WOODMONT DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836461033",
"telephone_number": "209-703-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "992 W IDAHO AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979142111",
"telephone_number": "208-741-3336",
"fax_number": "541-216-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILEY",
"first_name": "LYSA",
"middle_name": "R",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.