Debra Miller, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011380 Issued in NY

Practice address

4402 River St
Scio, NY 14880-9707

Phone

(585) 596-1037

Fax

(585) 380-3587

NPI assigned

Jun 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Catholic Charities of Buffalo

  • Community/Behavioral Health Agency
  • Buffalo, NY
  • NPI 1962596718
  NPD (past)

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1295350239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 RIVER ST",
            "city": "SCIO",
            "state": "NY",
            "postal_code": "148809707",
            "telephone_number": "585-596-1037",
            "fax_number": "585-380-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 RIVER ST",
            "city": "SCIO",
            "state": "NY",
            "postal_code": "148809707",
            "telephone_number": "585-596-1037",
            "fax_number": "585-380-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEBRA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Childs, MS, OTR/L
• Deborah Jean Fuller, R.N.
• Amber R Hardy, LMHC
• Leone Angie-Della Jenison, RN
• Robin Kelly, LPN
• Renee Eileen Piechota
• Stacy Lee Schmidt, LMHC-P
• Scio Central School District 1
• Jessica Tesson
• Tanya Tucker-Scholla

• All providers in Scio, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.