Organization Active NPI

Miller Counseling Services LLC

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1255684551
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18573 Issued in MN
Legal business name
MILLER COUNSELING SERVICES LLC
Practice address
821 Raymond Ave Ste 230a
Saint Paul, MN 55114-1525
Phone
(651) 735-6544
Fax
(651) 730-6657
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Nancy A Miller, LICSW
Title
Owner
Phone
(612) 735-6544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 18573 MN Primary

Addresses

Primary practice location

821 Raymond Ave Ste 230a
Saint Paul, MN 55114-1525

Mailing address

1811 Weir Dr Ste 190
Woodbury, MN 55125-2292
Phone (651) 738-8561

National Provider Directory

National Provider Directory

Locations

821 Raymond Ave
Ste 230A
Saint Paul, MN 55114
Phone (612) 702-3483

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1255684551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 WEIR DR STE 190",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252292",
            "telephone_number": "651-738-8561",
            "fax_number": "651-730-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 230A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141525",
            "telephone_number": "651-735-6544",
            "fax_number": "651-730-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-735-6544",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.