Individual provider Active NPI

Keith Miller, LPC

  • Professional Counselor
  • Lake Charles, LA
National Provider Identifier
1528439908
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4507 Issued in LA
Practice address
2706 Hodges St
Lake Charles, LA 70601-7366
Phone
(337) 491-1740
NPI assigned
Oct 12, 2015
Last updated
Oct 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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 4507 LA Primary

Addresses

Primary practice location

2706 Hodges St
Lake Charles, LA 70601-7366

Mailing address

708 13TH St
Lake Charles, LA 70601-7464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240328003821 LA Practitioner - Mental Health Counselor 3072965573 Reassigns benefits to 1 organization
I20251130000179 TX Practitioner - Mental Health Counselor 3072965573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Health Services LLCGroup PAC ID 7911373402, 11 clinicians

Practice addresses (Care Compare)

Sulphur, LA 70663
Phone (337) 476-9599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4507LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Health Services LLC CurrentSince Aug 3, 2025 Accepting new patients
Delta Health Services LLC CurrentSince Feb 29, 2024 Accepting new patients

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1528439908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 13TH ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 HODGES ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017366",
            "telephone_number": "337-491-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEITH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.