Active NPI
Martin Konantz Miller, LIMHP, LADC
- Mental Health Counselor
- Hastings, NE
National Provider Identifier
1346413838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1073
- Practice address
- 225 N Saint Joseph Ave
Hastings, NE 68901-7555 - Phone
- (402) 463-5075
- Fax
- (402) 463-5073
- NPI assigned
- Apr 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 701 | NE | |
| Mental Health Counselor | 101YM0800X | 1073 | NE | Primary |
Addresses
Primary practice location
225 N Saint Joseph Ave
Hastings, NE 68901-7555
Mailing address
225 N Saint Joseph Ave
Hastings, NE 68901-7555
Phone (402) 463-5075
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1073 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 701 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1346413838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 N SAINT JOSEPH AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689017555",
"telephone_number": "402-463-5075",
"fax_number": "402-463-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N SAINT JOSEPH AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689017555",
"telephone_number": "402-463-5075",
"fax_number": "402-463-5073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MARTIN",
"middle_name": "KONANTZ",
"name_prefix": "Mr.",
"credential": "LIMHP, LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-07",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "701",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.