Individual provider Active NPI

Shadie Beth Miller, LPC

  • Professional Counselor
  • Lubbock, TX
National Provider Identifier
1215741012
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88175 Issued in TX
Practice address
7204 Joliet Ave Ste 5
Lubbock, TX 79423-1124
Phone
(806) 589-5491
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 88175 TX Primary

Addresses

Primary practice location

7204 Joliet Ave Ste 5
Lubbock, TX 79423-1124

Mailing address

7204 Joliet Ave Ste 5
Lubbock, TX 79423-1124
Phone (806) 589-5491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421001686 TX Practitioner - Mental Health Counselor 7113442302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Journeys Counseling Center Professional CurrentSince Apr 1, 2025 Accepting new patients

Locations

4703 S Loop 289
Lubbock, TX 79424
Phone (806) 445-4190

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1215741012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7204 JOLIET AVE STE 5",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231124",
            "telephone_number": "806-589-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7204 JOLIET AVE STE 5",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231124",
            "telephone_number": "806-589-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHADIE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.