Active NPI
Julie Miller, LPC-S
- Professional Counselor
- Jonesboro, AR
National Provider Identifier
1386870525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1607090
- Practice address
- 2760 Browns LN Ste D
Jonesboro, AR 72401-7271 - Phone
- (870) 333-5300
- Fax
- (870) 573-8038
- NPI assigned
- Jun 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | P1607090 | AR | Primary |
Addresses
Primary practice location
2760 Browns LN Ste D
Jonesboro, AR 72401-7271
Mailing address
2760 Browns LN Ste D
Jonesboro, AR 72401-7271
Phone (870) 333-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5BT44 | Other | AR | BCBS |
| 177053795 | Medicaid | AR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1607090 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retrospect Counseling, PLLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Paragould, AR
- NPI 1831777234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1386870525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 BROWNS LN STE D",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017271",
"telephone_number": "870-333-5300",
"fax_number": "870-573-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 BROWNS LN STE D",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017271",
"telephone_number": "870-333-5300",
"fax_number": "870-573-8038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JULIE",
"credential": "LPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-02",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1607090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5BT44",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177053795",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.