Active NPI
Lisa Shea Miller
- Professional Counselor
- Gardendale, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3094
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3094 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Health Services, LLC | Current | Accepting new patients | |
| Incite & Inspire Counseling, LLC | Professional | Current | 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.
-
- Clinical Social Worker
- Hoover, AL
- NPI 1417355504
-
- Professional Counselor
- Mount Olive, AL
- NPI 1245886712
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.