Active NPI
Dolores Jean Miller, MASTER SOCIAL WORKER
- Addiction (Substance Use Disorder) Counselor
- Lansing, MI
National Provider Identifier
1306114814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2-01286
- Practice address
- 3410 Old Lansing Rd
Lansing, MI 48917-4392 - Phone
- (517) 657-2980
- NPI assigned
- Dec 12, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2-01286 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 6801098626 | MI |
Addresses
Primary practice location
3410 Old Lansing Rd
Lansing, MI 48917-4392
Mailing address
444 Cornell Dr
Battle Creek, MI 49017-4614
Phone (269) 830-0491
Other practice location 1
6379 Dixie Hwy
Bridgeport, MI 48722-9566
Phone (989) 777-4357
Other practice location 2
2025 S Washington Ave Ste 210
Lansing, MI 48910-0817
Phone (517) 371-1111
Other names 1
- Jean Miller
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 |
|---|---|---|---|
| 2-01286 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6801098626 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1306114814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 CORNELL DR",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490174614",
"telephone_number": "269-830-0491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 OLD LANSING RD",
"city": "LANSING",
"state": "MI",
"postal_code": "489174392",
"telephone_number": "517-657-2980"
}
],
"practiceLocations": [
{
"address_1": "6379 Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "MI",
"postal_code": "487229566",
"country_code": "US",
"telephone_number": "989-777-4357",
"fax_number": "989-777-7257",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2025 S Washington Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489100817",
"country_code": "US",
"telephone_number": "517-371-1111",
"fax_number": "517-371-1121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "DOLORES",
"middle_name": "JEAN",
"credential": "MASTER SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "2-01286",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801098626",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "MILLER",
"credential": "MASTER SOCIAL WORKER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lansing, MI
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.