Jenny Lynn Miller, LAC-BBH-LAC-LIC-4969

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BBH-LAC-LIC-49692 Issued in MT

Practice address

304 4TH Ave E
Superior, MT 59872-3075

Phone

(406) 822-5422

NPI assigned

Jul 6, 2021

Last updated

Jul 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Choices, Inc.

  dba Choices for Change Counseling

  • Clinical Social Worker
  • Superior, MT
  • NPI 1245558840

  Addiction (Substance Use Disorder)

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1356912901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "SAINT REGIS",
            "state": "MT",
            "postal_code": "598660231",
            "telephone_number": "702-358-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 4TH AVE E",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598723075",
            "telephone_number": "406-822-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "credential": "LAC-BBH-LAC-LIC-4969",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-49692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenny@choicesforchange.net",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "304 4th Ave E",
            "city": "Superior",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598723075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brayden Michael Leake, PHARM.D.
• Masc LLC
• Linea Maxwell, LCSW
• Stewart Andrew McCracken, LAC
• Lawana V McGuffey, ACLC, SWLC, MSW
• Mineral Drug, Inc (Mineral Pharmacy)
• Mineral Pharmacy Inc
• Mineral Regional Health Center Inc.
• Missoula Community Health Services, Inc (Mineral Community Hospital Clinic)
• Missoula Community Health Services, Inc (Tamarack Medical Clinic)

• Addiction (Substance Use Disorder) Counselor in Superior, MT
• Providers in Superior, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.