Individual provider Active NPI

Joan Marie Miller, DVM, MA

  • Professional Counselor
  • Richmond, KY
National Provider Identifier
1306934401
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
KY-0983 Issued in KY
Practice address
415 Gibson LN
Richmond, KY 40475-2577
Phone
(859) 626-5030
NPI assigned
Oct 11, 2006
Last updated
Sep 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X KY-0983 KY Primary
Professional Counselor 101YP2500X AZ-12994 AZ

Addresses

Primary practice location

415 Gibson LN
Richmond, KY 40475-2577

Mailing address

415 Gibson LN
Richmond, KY 40475-2577
Phone (859) 626-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522000212 KY Practitioner - Mental Health Counselor 8921527060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Harvard Dr
Lexington, KY 40517-1508
Phone (859) 396-0644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AZ-12994AZMDProfessional Counselor
KY-0983KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Provision School and Family Counseling Center, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

301 Harvard Dr
Lexington, KY 40517
Phone (859) 396-0644

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1306934401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GIBSON LN",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752577",
            "telephone_number": "859-626-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GIBSON LN",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752577",
            "telephone_number": "859-626-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DVM, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "KY-0983",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "AZ-12994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.