Quiet Minds

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

253038 Issued in KY

Legal business name

QUIET MINDS

Practice address

101 Wind Haven Dr Ste 202
Nicholasville, KY 40356

Phone

(859) 449-5725

Fax

(859) 277-0077

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Micah J Miller, LCSW

Title

Owner/Operator

Phone

(859) 449-5725

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1629563473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 YALE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171547",
            "telephone_number": "859-449-2231",
            "fax_number": "859-277-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WIND HAVEN DR STE 202",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "40356",
            "telephone_number": "859-449-5725",
            "fax_number": "859-277-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIET MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "859-449-5725",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336525120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Clinical Social Worker in Kentucky

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