Active NPI
Bettina Miller
- Counselor
- Lambertville, MI
National Provider Identifier
1225620800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401013399
- Practice address
- 6530 Secor Rd Ste 10
Lambertville, MI 48144-9456 - Phone
- (419) 260-3637
- NPI assigned
- Feb 5, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401013399 | MI | Primary |
Addresses
Primary practice location
6530 Secor Rd Ste 10
Lambertville, MI 48144-9456
Mailing address
2240 Melbourne Ave Apt 1509
Dexter, MI 48130-1597
Phone (151) 793-7979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
20878 Hunt Club Dr
Harper Woods, MI 48225-1715
45979 Tallgrass CT
Van Buren Township, MI 48111-6422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013399 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Care Connection LLC | Professional | Current | Accepting new patients |
Locations
6530 Secor Rd
Ste 10
Lambertville, MI 48144
Phone (419) 260-3637
6530 Secor Rd
Lambertville, MI 48144
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": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1225620800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 MELBOURNE AVE APT 1509",
"city": "DEXTER",
"state": "MI",
"postal_code": "481301597",
"telephone_number": "151-793-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6530 SECOR RD STE 10",
"city": "LAMBERTVILLE",
"state": "MI",
"postal_code": "481449456",
"telephone_number": "419-260-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BETTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401013399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lambertville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.