Individual provider Active NPI

Ashley Nicole Brooke Miller, LPC

  • Professional Counselor
  • Edenton, NC
National Provider Identifier
1598002172
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9429 Issued in NC
Practice address
1255 Haughton Road
Edenton, NC 27932
Phone
(252) 368-6110
Fax
(252) 661-4027
NPI assigned
Jan 15, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 9429 NC Primary

Addresses

Primary practice location

1255 Haughton Road
Edenton, NC 27932

Mailing address

PO Box 1095
Edenton, NC 27932-1095
Phone (252) 368-6110

Other practice location 1

1825 W City Dr
Suites A & B
Elizabeth City, NC 27909-9675
Phone (252) 339-8690

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
9429NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Professional Counseling, PLLC Professional Past Accepting new patients

Organizations & group practices 1

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": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1598002172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1095",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321095",
            "telephone_number": "252-368-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 HAUGHTON ROAD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "27932",
            "telephone_number": "252-368-6110",
            "fax_number": "252-661-4027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 W City Dr",
            "address_2": "Suites A & B",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279099675",
            "country_code": "US",
            "telephone_number": "252-339-8690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE BROOKE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.