Individual provider Active NPI

Kristina Susan Kay Miller, LPC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1336791367
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC20595 Issued in SD
Practice address
7405 S Bitterroot PL Ste 115
Sioux Falls, SD 57108-1603
Phone
(605) 880-6675
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LPC20595 SD Primary

Addresses

Primary practice location

7405 S Bitterroot PL Ste 115
Sioux Falls, SD 57108-1603

Mailing address

7405 S Bitterroot PL Ste 115
Sioux Falls, SD 57108-1603
Phone (605) 880-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20260511002027 SD Practitioner - Mental Health Counselor 9739657438 Practice locations: Sioux Falls, SD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7405 S Bitterroot PL
Suite 115
Sioux Falls, SD 57108-1603
Phone (605) 880-6713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC20595SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kristina Susan, LLC Mental Health CurrentSince May 26, 2024 Accepting new patients
Alternative Health Centers PC Past Accepting new patients

Locations

7405 S Bitterroot Pl
Ste 115
Sioux Falls, SD 57108
Phone (605) 880-6675

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1336791367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 S BITTERROOT PL STE 115",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571081603",
            "telephone_number": "605-880-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 S BITTERROOT PL STE 115",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571081603",
            "telephone_number": "605-880-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTINA",
        "middle_name": "SUSAN KAY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC20595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.