Kim Elaine Miller, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC003284 Issued in PA

Practice address

15 S 9TH St
Lebanon, PA 17042-5104

Phone

(717) 273-5992

Fax

(717) 273-5995

NPI assigned

Oct 11, 2016

Last updated

Oct 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Berkshire Psychiatric & Behavioral Health Services, PLLC

  • Psychologist
  • Reading, PA
  • NPI 1164441382

  Professional

  Medicare reassignment NPD
• Haven Behavioral Services of Reading, LLC

  dba Haven Behavioral Hospital of Eastern Pennsylvania

  • Psychiatric Hospital
  • Reading, PA
  • NPI 1629384292
  Medicare reassignment NPD

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1336699503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N PRINCE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033010",
            "telephone_number": "717-560-7917",
            "fax_number": "717-560-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S 9TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425104",
            "telephone_number": "717-273-5992",
            "fax_number": "717-273-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIM",
        "middle_name": "ELAINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A. Miller, PA-C
• Gregory Richard Miller, PHARMD
• Janice F Miller, MA, LPC
• Kamryn Alexis Miller
• Kara Garcia Miller, LSW
• Paige Makenna Miller, BSN RN
• Shannon Marie Miller
• Sheri M Miller, MAMFT
• Stasia Elizabeth Miller, COTA/L
• Susan B Miller, RPH

• Professional Counselor in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.