Penny R Miller, MS, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

4713 Issued in OK

Practice address

5272 S Lewis Ave Ste 132
Tulsa, OK 74105-6563

Phone

(918) 925-9137

Fax

(918) 512-4272

NPI assigned

Dec 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Penny Lucille Rott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1396928743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5272 S LEWIS AVE STE 132",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056563",
            "telephone_number": "918-925-9137",
            "fax_number": "918-512-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5272 S LEWIS AVE STE 132",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056563",
            "telephone_number": "918-925-9137",
            "fax_number": "918-512-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PENNY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "4713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "ROTT",
            "middle_name": "LUCILLE",
            "prefix": "MRS.",
            "credential": "MS, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maite Miller
• Melody Miller, LMFT
• Natalie Miller
• Oren Francis Miller III, MD
• Oren Francis Miller IV
• Peteryne D Miller, M.D.
• Quintella Delana Miller
• Robert Jeffrey Miller, APRN-CNP
• Ronnie D Miller
• Ruth A. Miller, D.O.

• Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.