Active NPI
Marlaena Miller, MA, LPC
- Mental Health Counselor
- Lake Charles, LA
National Provider Identifier
1629481627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5951
- Practice address
- 710 W Prien Lake Rd Ste 202
Lake Charles, LA 70601-8351 - Phone
- (337) 912-3043
- NPI assigned
- Jun 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5951 | LA | Primary |
Addresses
Primary practice location
710 W Prien Lake Rd Ste 202
Lake Charles, LA 70601-8351
Mailing address
932 Isabella St
Sulphur, LA 70663-1836
Phone (337) 912-3043
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5951 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1629481627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 ISABELLA ST",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706631836",
"telephone_number": "337-912-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W PRIEN LAKE RD STE 202",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018351",
"telephone_number": "337-912-3043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MARLAENA",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-06",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "5951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.