Susan K Miller, PCT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1671-226 Issued in WI

Practice address

121 W Main St
C/O Ozaukee County Department of Human Services
Port Washington, WI 53074-1813

Phone

(262) 284-8200

Fax

(262) 284-8104

NPI assigned

Feb 28, 2013

Last updated

Jan 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1578803441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 W WOODFIELD DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530922455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "address_2": "C/O OZAUKEE COUNTY DEPARTMENT OF HUMAN SERVICES",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741813",
            "telephone_number": "262-284-8200",
            "fax_number": "262-284-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "K",
        "credential": "PCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17072-130",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "1671-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas B McManus, MD
• Medical Supportive Care LLC
• Lorene Menchaca, LCSW, MSW
• Kip Tyler Mentzer, M.D.
• David Merrifield, LCSW
• Noel Murae Mitchell, LPC-IT, MS
• Brianna Danielle Moede, LPC
• Arleen L More O'Ferrall, APNP
• Megan Marie Morgan, CERTIFIED NURSING AS
• Erick M Muhlenbeck, LPC, CSAC, ICS

• Counselor in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.