Individual provider Active NPI

Kim Miner, LMHC

  • Mental Health Counselor
  • Miramar Beach, FL
National Provider Identifier
1336675172
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 13569 Issued in FL
Practice address
12815 US Highway 98 W Ste 108
Miramar Beach, FL 32550-3245
Phone
(850) 389-8489
Fax
(844) 377-9201
NPI assigned
May 11, 2017
Last updated
May 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 13569 FL Primary

Addresses

Primary practice location

12815 US Highway 98 W Ste 108
Miramar Beach, FL 32550-3245

Mailing address

12815 US Highway 98 W Ste 108
Miramar Beach, FL 32550-3245
Phone (850) 389-8489

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

LicenseStateTypeSpecialty
MH 13569FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1336675172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12815 US HIGHWAY 98 W STE 108",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325503245",
            "telephone_number": "850-389-8489",
            "fax_number": "844-377-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12815 US HIGHWAY 98 W STE 108",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325503245",
            "telephone_number": "850-389-8489",
            "fax_number": "844-377-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "KIM",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 13569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.