Active NPI
Kerri Lee Miller, MS, MDIV, LCMHC
- Counselor
- Reidsville, NC
National Provider Identifier
1346929148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6805
- Practice address
- 2150 NC Highway 65
Reidsville, NC 27320-9609 - Phone
- (336) 520-5015
- NPI assigned
- Jul 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6805 | NC | Primary |
Addresses
Primary practice location
2150 NC Highway 65
Reidsville, NC 27320-9609
Mailing address
4929 Tower Rd Apt D
Greensboro, NC 27410-5709
Phone (336) 209-1476
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6805 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1346929148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4929 TOWER RD APT D",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274105709",
"telephone_number": "336-209-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 NC HIGHWAY 65",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273209609",
"telephone_number": "336-520-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KERRI",
"middle_name": "LEE",
"credential": "MS, MDIV, LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "6805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.