Individual provider Active NPI

Julie Lynn Miller, LCPC

  • Mental Health Counselor
  • Crofton, MD
National Provider Identifier
1447720503
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC4292 Issued in MD
Practice address
1664B Village GRN
Crofton, MD 21114-2014
Phone
(236) 141-0844
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC4292 MD Primary

Addresses

Primary practice location

1664B Village GRN
Crofton, MD 21114-2014

Mailing address

1664B Village GRN
Crofton, MD 21114-2014
Phone (410) 844-2361

Other practice location 1

6810 Park Heights Ave
Baltimore, MD 21215-1641
Phone (410) 844-2361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226000121 MD Practitioner - Mental Health Counselor 1951838358 Practice locations: Crofton, MD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1664 B Village GRN
Crofton, MD 21114-2014
Phone (410) 844-2361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1447720503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664B VILLAGE GRN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142014",
            "telephone_number": "410-844-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664B VILLAGE GRN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142014",
            "telephone_number": "236-141-0844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6810 Park Heights Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212151641",
            "country_code": "US",
            "telephone_number": "410-844-2361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.