Beyond the Clouds Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005729A Issued in IN

Legal business name

BEYOND THE CLOUDS COUNSELING LLC

Practice address

505 Colonial CT
Plymouth, IN 46563-1860

Phone

(574) 933-1201

Fax

(574) 968-7404

NPI assigned

Jul 31, 2018

Organization subpart

No

Name

Tara Miller, LCSWNPI 1326225004

Title

Owner/Counselor

Phone

(574) 933-1201

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara J Miller, MSW

  • Social Worker
  • South Bend, IN
  • NPI 1326225004

  Clinical

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2018.

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1497233647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10811 CARDINAL CIR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465637970",
            "telephone_number": "574-933-1201",
            "fax_number": "574-968-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COLONIAL CT",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631860",
            "telephone_number": "574-933-1201",
            "fax_number": "574-968-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THE CLOUDS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "574-933-1201",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005729A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1326225004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey K Bell, O.D.
• Teresa Benefit, NP
• Berger Audiology
• Jeana Renee Berger, MSN, FNP-C
• Rebecca L Berger, AUD
• Laura Elizabeth Blackford, MD
• Annamarie Boits, EDS, NCSP
• Nicole B Bolinger
• Candie Books, FNP-C
• Michael Edward Borden

• All providers in Plymouth, IN
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.