Individual provider Active NPI

Brandi Dishman Miller

  • Professional Counselor
  • Anniston, AL
National Provider Identifier
1386369965
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
ALC04245 Issued in AL
Practice address
1525 Leighton Ave Ste B
Anniston, AL 36207-3805
Phone
(256) 343-3434
NPI assigned
Oct 6, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 ALC04245 AL Primary

Addresses

Primary practice location

1525 Leighton Ave Ste B
Anniston, AL 36207-3805

Mailing address

1525 Leighton Ave Ste B
Anniston, AL 36207-3805
Phone (256) 343-3434

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
I20260427002742 AL Practitioner - Mental Health Counselor 1254808207

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1505 Pelham Rd S
Suite 7
Jacksonville, AL 36265-3707

212 Bates St
Weaver, AL 36277-3700

3413 Rainbow Pkwy
Suite a
Rainbow City, AL 35906-3234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ALC04245ALMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1386369965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LEIGHTON AVE STE B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073805",
            "telephone_number": "256-343-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LEIGHTON AVE STE B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073805",
            "telephone_number": "256-343-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRANDI",
        "middle_name": "DISHMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "ALC04245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.