Mae Alice Miller, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

074844 Issued in NY

Practice address

13702 224TH St
Laurelton, NY 11413-2426

Phone

(917) 542-1631

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Practice roles

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.

• Astrocare, Inc.

  dba PSCH Inc.

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1427074574
  NPD (past)
• Sus Mental Health Programs, Inc.

  dba SUS Wellness Works Mental Health Clinic

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1053696195

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225137904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137-02 224TH STREET",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132325",
            "telephone_number": "917-542-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13702 224TH ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132426",
            "telephone_number": "917-542-1631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1157 BROADWAY",
            "address_purpose": "LOCATION",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572325",
            "country_code": "US",
            "telephone_number": "516-595-8565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MAE",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "074844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osalenne Metellus, NP
• Hazel E Mezmin
• Marie Carmel Milien
• Angela Rose Miller
• Cherelle Marie Miller, LPN
• Euphema Mills
• Andrea Jacqueline Mitchell, RN
• Velma Veronica Mitchell
• Sylvia Modeste, R.N.
• Joselle Montelus, NP

• Mental Health Counselor in Laurelton, NY
• Providers in Laurelton, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.