Individual provider Active NPI

Ellen S Miles, LPC

  • Professional Counselor
  • Parksley, VA
National Provider Identifier
1477984037
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005611 Issued in VA
Practice address
19056 Greenbush Rd.
Parksley, VA 23421
Phone
(757) 665-1260
NPI assigned
Dec 9, 2013
Last updated
Dec 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005611 VA Primary

Addresses

Primary practice location

19056 Greenbush Rd.
Parksley, VA 23421

Mailing address

19056 Greenbush Road
Parksley, VA 23421
Phone (757) 665-1260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240318001198 VA Practitioner - Mental Health Counselor 5193162816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shore Community MH Mr Sas Services BoardGroup PAC ID 8729185095, 17 clinicians

Practice addresses (Care Compare)

19056 Greenbush Rd
Parksley, VA 23421-2510
Phone (757) 665-1260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701005611VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Community MH Mr Sas Services Board Professional CurrentSince Jan 1, 2024 Accepting new patients
Eastern Shore Community Services Board CurrentSince Jan 1, 2024 Accepting new patients

Locations

19056 Greenbush Rd
Parksley, VA 23421
Phone (757) 665-1260

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1477984037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19056 GREENBUSH ROAD",
            "city": "PARKSLEY",
            "state": "VA",
            "postal_code": "23421",
            "telephone_number": "757-665-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19056 GREENBUSH RD.",
            "city": "PARKSLEY",
            "state": "VA",
            "postal_code": "23421",
            "telephone_number": "757-665-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "ELLEN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parksley, VA

Sources for this page

Verify at the official NPI Registry.