Individual provider Active NPI

Jamie Lyn Venzian, LPC, LMHC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1235492927
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10149 Issued in NC
Practice address
1409 East Blvd
Charlotte, NC 28203-5817
Phone
(704) 492-1105
NPI assigned
Jun 19, 2012
Last updated
Oct 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005067 NY
Mental Health Counselor 101YM0800X 10149 NC Primary

Addresses

Primary practice location

1409 East Blvd
Charlotte, NC 28203-5817

Mailing address

1409 East Blvd
Charlotte, NC 28203-5817
Phone (704) 492-1105

Other names 1

  • Jamie Lyn Miiller Former name

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
005067NYMDMental Health Counselor
10149NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1235492927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035817",
            "telephone_number": "704-492-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035817",
            "telephone_number": "704-492-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENZIAN",
        "first_name": "JAMIE",
        "middle_name": "LYN",
        "credential": "LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005067",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "MIILLER",
            "middle_name": "LYN",
            "credential": "LPC, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.