Active NPI
Ronald E Miller, LPC
- Professional Counselor
- Chickasha, OK
National Provider Identifier
1265713499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3602
- Practice address
- 401 W Chickasha Ave
Chickasha, OK 73018-2503 - Phone
- (580) 504-2442
- NPI assigned
- Sep 1, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3602 | OK | Primary |
Addresses
Primary practice location
401 W Chickasha Ave
Chickasha, OK 73018-2503
Mailing address
1715 Stout Rd
Ardmore, OK 73401-1239
Phone (580) 504-2442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265713499 | Other | OK | NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3602 | OK | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1265713499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 STOUT RD",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011239",
"telephone_number": "580-504-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W CHICKASHA AVE",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730182503",
"telephone_number": "580-504-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RONALD",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-01",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1265713499",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.