Individual provider Active NPI

Lisa Shea Miller

  • Professional Counselor
  • Gardendale, AL
National Provider Identifier
1356816888
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3094 Issued in AL
Practice address
1501 Decatur Hwy Ste 101
Gardendale, AL 35071-3857
Phone
(205) 644-1166
Fax
(800) 514-9302
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3094 AL Primary

Addresses

Primary practice location

1501 Decatur Hwy Ste 101
Gardendale, AL 35071-3857

Mailing address

4741 Gardenia Trce
Mount Olive, AL 35117-3461
Phone (205) 602-9335

Other practice location 1

4741 Gardenia Trce
Mount Olive, AL 35117-3461
Phone (205) 602-9355

Other practice location 2

9064 Helena Rd
Hoover, AL 35124-2737
Phone (205) 644-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240207002232 AL Practitioner - Mental Health Counselor 6901249861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Health Services, LLCGroup PAC ID 0648503615, 8 clinicians

Practice addresses (Care Compare)

9064 Helena Rd
Pelham, AL 35124-2737
Phone (205) 644-1166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3094ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Services, LLC CurrentSince Jan 1, 2024 Accepting new patients
Incite & Inspire Counseling, LLC Professional CurrentSince Aug 18, 2019 Accepting new patients

Locations

1501 Decatur Hwy
Gardendale, AL 35071
Phone (205) 631-5681

1501 Decatur Hwy
#101
Gardendale, AL 35071
Phone (205) 644-1166

9064 Helena Rd
Pelham, AL 35124
Phone (205) 644-1166

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": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1356816888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 GARDENIA TRCE",
            "city": "MOUNT OLIVE",
            "state": "AL",
            "postal_code": "351173461",
            "telephone_number": "205-602-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DECATUR HWY STE 101",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713857",
            "telephone_number": "205-644-1166",
            "fax_number": "800-514-9302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4741 Gardenia Trce",
            "address_purpose": "LOCATION",
            "city": "Mount Olive",
            "state": "AL",
            "postal_code": "351173461",
            "country_code": "US",
            "telephone_number": "205-602-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9064 Helena Rd",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "351242737",
            "country_code": "US",
            "telephone_number": "205-644-1166",
            "fax_number": "800-514-9302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "middle_name": "SHEA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.