Carrie Lynette Miller, P.C.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0900125 Issued in OH

Practice address

1925 Hayes Ave
Sandusky, OH 44870-4737

Phone

(419) 557-5177

Fax

(419) 557-5179

NPI assigned

Oct 4, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northwoods Clinic, LLC

  • Child & Adolescent Psychiatry Physician
  • Columbus, OH
  • NPI 1841698669
  NPD (past)

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1447569876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 HAYES AVENUE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704737",
            "telephone_number": "419-557-5177",
            "fax_number": "419-557-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704737",
            "telephone_number": "419-557-5177",
            "fax_number": "419-557-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARRIE",
        "middle_name": "LYNETTE",
        "name_prefix": "Miss",
        "credential": "P.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0900125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0900125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO - CSWMFT BOARD",
            "identifier": "C0900125",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teri Lynn Meyers
• Jacqueline Nicole Michaelis, MS, RDN, LD
• Jeannie Delorice Michaels
• Stephen Christopher Miely, DDS
• Ellen Tracy Miles, P.C.C.
• Charon L Miller, PCC
• Deloris Miller
• Devon Miller, PA-C
• Ebony Miller
• Jennifer Miller

• Mental Health Counselor in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.