Kathleen M Miller, MS LPC CSAC ICS LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2864125 Issued in WI

Practice address

3246 W. Rollingwood Drive
Janesville, WI 53545-9030

Phone

(608) 563-5633

Fax

(608) 563-4122

NPI assigned

Mar 7, 2007

Last updated

Jan 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Passageway, Inc. FRS-TR

  • Professional Counselor
  • Janesville, WI
  • NPI 1821398736

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1265562037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3246 W ROLLINGWOOD DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535459030",
            "telephone_number": "608-563-5633",
            "fax_number": "608-563-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 W. ROLLINGWOOD DRIVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535459030",
            "telephone_number": "608-563-5633",
            "fax_number": "608-563-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "MS LPC CSAC ICS LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15139-132",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15375-135",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2864125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward C Miller, MD
• Jessica Leigh Miller, MD
• Joseph C Miller, RPH
• Kari Kay Miller, RN
• Kathleen Helen Miller, MD
• Kayla Nicole Miller, MD
• Kristin L Miller, DO
• Margaret Miller, OTR/L
• Scott E Miller, MD
• Steven James Miller, APSW

• Professional Counselor in Janesville, WI
• Providers in Janesville, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.