Organization Active NPI

Renae Miller Counseling, PLLC

  • Professional Counselor
  • Peoria, IL
National Provider Identifier
1427681097
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RENAE MILLER COUNSELING, PLLC
Practice address
7501 N University St Ste 131
Peoria, IL 61614-1298
Phone
(309) 306-1173
NPI assigned
Feb 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Mrs. Renae Elizabeth Miller, LCPC
Title
Owner
Phone
(309) 306-1173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

7501 N University St Ste 131
Peoria, IL 61614-1298

Mailing address

7501 N University St Ste 131
Peoria, IL 61614-1298
Phone (309) 306-1173

National Provider Directory

National Provider Directory

Locations

7501 N University St
Ste 131
Peoria, IL 61614
Phone (309) 306-1173

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1427681097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 N UNIVERSITY ST STE 131",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141298",
            "telephone_number": "309-306-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 N UNIVERSITY ST STE 131",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141298",
            "telephone_number": "309-306-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAE MILLER COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-306-1173",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.