Genna Miller, MA, LCAS-R

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16834 Issued in NC

Practice address

7540 Ramble Way Ste 109
Raleigh, NC 27616-4318

Phone

(252) 281-2515

NPI assigned

Nov 25, 2019

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Freedom Psychiatry Services PLLC

  • Child & Adolescent Psychiatry Physician
  • Raleigh, NC
  • NPI 1699279448
  NPD

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1629614789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 COUNTRY CLUB DR N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278969116",
            "telephone_number": "315-256-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 RAMBLE WAY STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164318",
            "telephone_number": "252-281-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GENNA",
        "credential": "MA, LCAS-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25948",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon D. Miller, MD
• Doreen Lynn Miller
• Emily Norris Miller, RN, MSN, CPNP
• Eva Miller, MPS, ATR, LPC
• Genesis Miller
• Gregory Michael Miller, BCBA
• Hannah Lynn Miller, FNP
• Heather Starr Miller, RN,BSN,IBCLC
• Heaven Miller
• Jaclyn Christine Miller

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.