Carissa Miller

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CARISSA MILLER

Practice address

825 N Highway 31
Austin, IN 47102-1830

Phone

(812) 697-2107

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carissa Miller, LCSWNPI 1972095230

Title

Sole Proprietor

Phone

(812) 697-2107

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carissa A Miller, LCSW

  • Clinical Social Worker
  • Scottsburg, IN
  • NPI 1972095230
  NPD Authorized official

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1548097074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 SANDALWOOD DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509464",
            "telephone_number": "812-697-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N HIGHWAY 31",
            "city": "AUSTIN",
            "state": "IN",
            "postal_code": "471021830",
            "telephone_number": "812-697-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARISSA MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "812-697-2107",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Ashcraft, RPH
• Lauren Tegarden Basham, FNP
• Cease of Scott County
• Laura Connallon
• Carolyn Jean Cooke, MD
• William E Cooke Jr., M.D.
• Christopher Dewhurst, PSYD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Austin, IN
• Providers in Austin, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.