Individual provider Active NPI

Mikah Miller, LPC

  • Professional Counselor
  • Canton, GA
National Provider Identifier
1225450232
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007813 Issued in GA
Practice address
3395 Sixes Rd Ste 2302
Canton, GA 30114-9125
Phone
(770) 224-7245
Fax
(470) 867-3270
NPI assigned
Jan 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 LPC007813 GA Primary

Addresses

Primary practice location

3395 Sixes Rd Ste 2302
Canton, GA 30114-9125

Mailing address

3395 Sixes Rd Ste 2302
Canton, GA 30114-9125
Phone (770) 224-7245

Other identifiers 1

IdentifierTypeStateIssuer
003183040AMedicaidGA

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

State licenses

LicenseStateTypeSpecialty
LPC007813GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
With a Child'S Heart, LLC. Mental Health CurrentSince Sep 17, 2023 Accepting new patients

Locations

3395 Sixes Rd
Ste 2302
Canton, GA 30114
Phone (404) 910-3377

1000 Whitlock Ave NW
Ste 320
Marietta, GA 30064
Phone (770) 427-8606

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": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1225450232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 SIXES RD STE 2302",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149125",
            "telephone_number": "770-224-7245",
            "fax_number": "470-867-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3395 SIXES RD STE 2302",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149125",
            "telephone_number": "770-224-7245",
            "fax_number": "470-867-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MIKAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2023-09-06",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003183040A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.