Active NPI
Lorelle Miller
- Counselor
- Star, ID
National Provider Identifier
1548032634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LMSW-44279
- Practice address
- 11174 W Box Canyon CT
Star, ID 83669-5672 - Phone
- (909) 262-7968
- NPI assigned
- Oct 23, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LMSW-44279 | ID | Primary |
Addresses
Primary practice location
11174 W Box Canyon CT
Star, ID 83669-5672
Mailing address
10740 W Fairview Ave Ste 100
Boise, ID 83713-8050
Phone (208) 376-0191
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 |
|---|---|---|---|
| LMSW-44279 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1548032634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10740 W FAIRVIEW AVE STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837138050",
"telephone_number": "208-376-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11174 W BOX CANYON CT",
"city": "STAR",
"state": "ID",
"postal_code": "836695672",
"telephone_number": "909-262-7968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LORELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LMSW-44279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Star, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.