Active NPI
Olivia Kathryn Miller, LPC
- Psychiatry Physician
- Hattiesburg, MS
National Provider Identifier
1477237709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2947
- Practice address
- 1 Lincoln Pkwy Ste 202
Hattiesburg, MS 39402-3261 - Phone
- (601) 288-8050
- Fax
- (601) 288-8058
- NPI assigned
- Jun 15, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2947 | MS | Primary |
Addresses
Primary practice location
1 Lincoln Pkwy Ste 202
Hattiesburg, MS 39402-3261
Mailing address
1 Lincoln Pkwy Ste 202
Hattiesburg, MS 39402-3261
Phone (601) 288-8050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
168 Union Rd
Belmont, NH 03220-3456
35 Newport Rd
New London, NH 03257-5413
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2947 | MS | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Associates of New London PLLC | Current | Accepting new patients |
Locations
525 N Main St
Hattiesburg, MS 39401
Phone 6016994080 ext. 125
35 Newport Rd
New London, NH 03257
Phone (603) 526-4230
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1477237709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LINCOLN PKWY STE 202",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394023261",
"telephone_number": "601-288-8050",
"fax_number": "601-288-8058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LINCOLN PKWY STE 202",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394023261",
"telephone_number": "601-288-8050",
"fax_number": "601-288-8058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "OLIVIA",
"middle_name": "KATHRYN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "2947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.