Michelle Miller Professional Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MICHELLE MILLER PROFESSIONAL COUNSELING LLC

Practice address

423 N McLean Blvd Ste 201
Wichita, KS 67203-5964

Phone

(316) 223-7337

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Michelle Renee DavisNPI 1457949166

Title

Lscsw, Owner

Phone

(316) 223-7337

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Renee Davis, LSCSW

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1457949166
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709337600000",
    "number": "1295320554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N MCLEAN BLVD STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035964",
            "telephone_number": "316-223-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N MCLEAN BLVD STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035964",
            "telephone_number": "316-223-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE MILLER PROFESSIONAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "LSCSW, OWNER",
        "authorized_official_telephone_number": "316-223-7337"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "michellemiller06@hushmail.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "560 N. Exposition Street",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672035902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rodney Michael
• Kellie Michaud, LMSW
• Alexis Nicole Michel
• Robert Michel
• Michelle D. Scheu, Lscsw, LLC
• Michelle Oliphant, LLC
• Michelle Peckham, LLC
• Michelle R Brown M.D. P.a.
• Michelle Raine Counseling LLC
• Mid America Cardiac Consultants P.a.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wichita, KS
• Providers in Wichita, KS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.