NPIMap

Individual provider Active NPI

Stephanie Miller, LCPC

  • Mental Health Counselor
  • Damascus, MD
National Provider Identifier
1558848655
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LG7777 Issued in MD
Practice address
9882 Main St
Damascus, MD 20872-2016
Phone
(202) 750-1028
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LG7777 MD Primary

Addresses

Primary practice location

9882 Main St
Damascus, MD 20872-2016

Mailing address

2450 Lakeside Dr
Frederick, MD 21702-3156
Phone (301) 835-8245

Other practice location 1

1003 W 7th St
Frederick, MD 21701-4106
Phone (301) 682-2472

Other practice location 2

18 Park Ave
Mount Airy, MD 21771-5438
Phone (301) 835-8245

Other practice location 3

2450 Lakeside Dr
Frederick, MD 21702-3156
Phone (301) 835-8245

Other practice location 4

2450 Lakeside Dr
Frederick, MD 21702-3156
Phone (301) 835-8245

Other practice location 5

18 Park Ave
Mount Airy, MD 21771-5438
Phone (301) 835-8245

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

LicenseStateTypeSpecialty
LG7777MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Playful Therapy Connections, LLC PastSince Jan 26, 2020 Accepting new patients
Playful Therapy Connections LLC PastSince Oct 13, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1558848655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LAKESIDE DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023156",
            "telephone_number": "301-835-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9882 MAIN ST",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722016",
            "telephone_number": "202-750-1028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014106",
            "country_code": "US",
            "telephone_number": "301-682-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "MD",
            "postal_code": "217715438",
            "country_code": "US",
            "telephone_number": "301-835-8245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Lakeside Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217023156",
            "country_code": "US",
            "telephone_number": "301-835-8245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Lakeside Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217023156",
            "country_code": "US",
            "telephone_number": "301-835-8245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "MD",
            "postal_code": "217715438",
            "country_code": "US",
            "telephone_number": "301-835-8245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHANIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LG7777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damascus, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.