Individual provider Active NPI

Stefani Miller, MA, LPCA, NCC

  • Professional Counselor
  • Fuquay Varina, NC
National Provider Identifier
1437562402
Registry record updated Jun 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A10869 Issued in NC
Practice address
602 E Academy St Ste 105
Fuquay Varina, NC 27526-2382
Phone
(919) 753-1275
NPI assigned
Jun 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2014

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 A10869 NC Primary

Addresses

Primary practice location

602 E Academy St Ste 105
Fuquay Varina, NC 27526-2382

Mailing address

1102 Bridlemine Dr
Fuquay Varina, NC 27526-4964
Phone (919) 610-5441

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A10869NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402185600000",
    "number": "1437562402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 BRIDLEMINE DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275264964",
            "telephone_number": "919-610-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E ACADEMY ST STE 105",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262382",
            "telephone_number": "919-753-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEFANI",
        "credential": "MA, LPCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-08",
        "last_updated": "2014-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2014; 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.