Active NPI
Emily Miller
- Social Worker
- Johnson City, TN
National Provider Identifier
1467142109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW0000013769
- Practice address
- 119 Boone Ridge Dr Ste 301
Johnson City, TN 37615-8001 - Phone
- (423) 850-1150
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW0000013769 | TN | Primary |
Addresses
Primary practice location
119 Boone Ridge Dr Ste 301
Johnson City, TN 37615-8001
Mailing address
262 Ridge Pointe Dr
Johnson City, TN 37604-4394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000013769 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Connections Counseling Services, PLLC | Current | Accepting new patients | |
| Life Connections Autism Services | Past | Accepting new patients |
Locations
408 N Cedar Bluff Rd
Ste 305
Knoxville, TN 37923
Phone (865) 888-5818
Organizations & group practices 2
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.
-
- Professional Counselor
- Knoxville, TN
- NPI 1174019087
-
- Behavior Analyst
- Knoxville, TN
- NPI 1437924123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1467142109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 RIDGE POINTE DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376044394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BOONE RIDGE DR STE 301",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376158001",
"telephone_number": "423-850-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "LSW0000013769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.