Active NPI
Susan Rae Miller, LCPC
- Professional Counselor
- Lawrence, KS
National Provider Identifier
1306015441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0199
- Practice address
- 2001 Haskell Ave
Lawrence, KS 66046-3249 - Phone
- (785) 422-9922
- Fax
- (785) 422-7499
- NPI assigned
- Feb 22, 2008
- 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 | 0199 | KS | Primary |
Addresses
Primary practice location
2001 Haskell Ave
Lawrence, KS 66046-3249
Mailing address
2001 Haskell Ave
Lawrence, KS 66046-3249
Phone (785) 422-9922
Other practice location 1
2518 Ridge Ct
GaDuGi SafeCenter
Lawrence, KS 66046-4079
Phone (785) 843-6501 ext. 370
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 |
|---|---|---|---|
| 0199 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gadugi Safecenter, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Lawrence, KS
- NPI 1699049312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1306015441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 HASKELL AVE",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660463249",
"telephone_number": "785-422-9922",
"fax_number": "785-422-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 HASKELL AVE",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660463249",
"telephone_number": "785-422-9922",
"fax_number": "785-422-7499"
}
],
"practiceLocations": [
{
"address_1": "2518 Ridge Ct",
"address_2": "GaDuGi SafeCenter",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660464079",
"country_code": "US",
"telephone_number": "785-843-6501 x370",
"fax_number": "785-843-3728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "SUSAN",
"middle_name": "RAE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "0199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.