Active NPI
Sandra Lynn Miller, MSW
- Counselor
- Lincoln, NE
National Provider Identifier
1508193202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 842
- Practice address
- 600 S 70TH St
Lincoln, NE 68510-2451 - Phone
- (402) 429-1467
- NPI assigned
- Nov 17, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 842 | NE | Primary |
| Counselor | 101Y00000X | 1458 | NE | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 268 | NE | |
| Mental Health Counselor | 101YM0800X | 364 | NE |
Addresses
Primary practice location
600 S 70TH St
Lincoln, NE 68510-2451
Mailing address
8221 Sandalwood Dr
Lincoln, NE 68510-2547
Phone (402) 429-1467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 842 | NE | MD | Clinical Social Worker |
| 1458 | NE | MD | Physical Therapy Assistant |
| 364 | NE | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344038400000",
"number": "1508193202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8221 SANDALWOOD DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102547",
"telephone_number": "402-429-1467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102451",
"telephone_number": "402-429-1467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SANDRA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-17",
"last_updated": "2012-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "842",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "1458",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "268",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "364",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.