Bruce Ellis Miles Sr., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5552 Issued in LA

Practice address

1255 Shreveport Barksdale Hwy
Shreveport, LA 71105-2405

Phone

(318) 861-1776

NPI assigned

Apr 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1215519848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CLERK ST",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552415",
            "telephone_number": "318-207-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 SHREVEPORT BARKSDALE HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052405",
            "telephone_number": "318-861-1776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Shreveport Barksdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711052405",
            "country_code": "US",
            "telephone_number": "318-861-1776 x4494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "BRUCE",
        "middle_name": "ELLIS",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "5552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bruce.miles@va.gov",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1255 Shreveport Barksdale Hwy",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711052405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miklos Szentirmai MD and Willis-Knighton Medical Center
• Brady Milanes
• Miles for Smiles, LLC
• Ashley Sharmagne Miles, LPN
• Brandi Miles
• Jasmine Miles
• Lamar Miles, MPH
• Lisa Marie Miles, LPC
• Sadonte Miles
• Milestones Counseling Center LLC

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.