Individual provider Active NPI

Paula Holmes Miller, PH. D.

  • Professional Counselor
  • Memphis, TN
National Provider Identifier
1316360050
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1554 Issued in TN
Practice address
4646 Poplar Ave
Suite 417
Memphis, TN 38117-4426
Phone
(901) 509-8468
Fax
(901) 509-8470
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1554 TN Primary

Addresses

Primary practice location

4646 Poplar Ave
Suite 417
Memphis, TN 38117-4426

Mailing address

4646 Poplar Ave
Suite 417
Memphis, TN 38117-4426
Phone (901) 509-8468

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1554TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual ADHD Services and Testing Current Accepting new patients
Counseling and Testing Services Professional Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1316360050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE",
            "address_2": "SUITE 417",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174426",
            "telephone_number": "901-509-8468",
            "fax_number": "901-509-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE",
            "address_2": "SUITE 417",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174426",
            "telephone_number": "901-509-8468",
            "fax_number": "901-509-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PAULA",
        "middle_name": "HOLMES",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.