Active NPI
Katie Miller, LPC
- Professional Counselor
- Boise, ID
National Provider Identifier
1285120691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-6989
- Practice address
- 740 E Warm Springs Ave
Boise, ID 83712-6420 - Phone
- (207) 343-7797
- NPI assigned
- Jul 9, 2018
- Sex
- Female
- Sole proprietor
- No
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 | LPC-6989 | ID | Primary |
Addresses
Primary practice location
740 E Warm Springs Ave
Boise, ID 83712-6420
Mailing address
740 E Warm Springs Ave
Boise, ID 83712-6420
Phone (207) 343-7797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194834010 | Medicaid | ID |
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 |
|---|---|---|---|
| LPC-6989 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Home Society of Idaho | Past | Accepting new patients | |
| Children'S Home Society of Idaho | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Boise, ID
- NPI 1194834010
-
- General Practice Physician
- Boise, ID
- NPI 1285971416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1285120691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 E WARM SPRINGS AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837126420",
"telephone_number": "207-343-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 E WARM SPRINGS AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837126420",
"telephone_number": "207-343-7797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KATIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-6989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194834010",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.