Carol Ann Miille, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C0270 Issued in OR

Practice address

9136 St. Helens St
Suite 175
Clackamas, OR 97015-1376

Phone

(503) 657-9080

Fax

(503) 675-9080

NPI assigned

Jan 3, 2007

Last updated

Oct 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Carol Ann Miille Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1447317912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1376",
            "address_2": "SUITE 175",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970151376",
            "telephone_number": "503-657-9080",
            "fax_number": "503-657-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9136 ST. HELENS ST",
            "address_2": "SUITE 175",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970151376",
            "telephone_number": "503-657-9080",
            "fax_number": "503-675-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIILLE",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C0270",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C0270",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C0270",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "MIILLE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "L.P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephanie Merrill
• Seth Ernest Meyer, MD
• Wendy Susan Meyers, MD
• Michael a Brown, DMD, PC
• Jaime Michael, MT,CA
• Susan Mikkelsen, M.D.
• Alysia Milam
• Suzanne Milburn, MD
• Marie A Miles, MD
• Aubrey M Miller, MD

• Mental Health Counselor in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.