Individual provider Active NPI

Kathleen Ann Miller, LSCSW

  • Clinical Social Worker
  • Pratt, KS
National Provider Identifier
1346355591
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4614 Issued in KS
Practice address
602 E 2ND St
Pratt, KS 67124-2912
Phone
(620) 672-2332
Fax
(620) 672-3162
NPI assigned
Aug 20, 2006
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4080 KS
Clinical Social Worker 1041C0700X 4614 KS Primary

Addresses

Primary practice location

602 E 2ND St
Pratt, KS 67124-2912

Mailing address

1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Phone (620) 663-7595

Other practice location 1

610 E Grant Ave
Greensburg, KS 67054-2708
Phone (620) 723-2272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20170105000302 KS Practitioner - Clinical Social Worker 0244511285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kansas School of Med (KC/Wich/Sal), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Horizons Mental Health Center, Inc.Group PAC ID 2163418120, 44 clinicians

Practice addresses (Care Compare)

602 E 2ND St
Pratt, KS 67124-2912
Phone (620) 672-2332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4080KSMDSocial Worker
4614KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Mental Health Center, Inc. Past Accepting new patients
Horizons Mental Health Center, Inc. Past Accepting new patients
Horizons Mental Health Center, Inc. PastSince Feb 2, 2020 Accepting new patients

Organizations & group practices 4

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1346355591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST STE 202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015600",
            "telephone_number": "620-663-7595",
            "fax_number": "620-513-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E 2ND ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242912",
            "telephone_number": "620-672-2332",
            "fax_number": "620-672-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 E Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "KS",
            "postal_code": "670542708",
            "country_code": "US",
            "telephone_number": "620-723-2272",
            "fax_number": "620-723-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "4080",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pratt, KS

Sources for this page

Verify at the official NPI Registry.