Individual provider Active NPI

Jody Leann Miller

  • Professional Counselor
  • West Lake Hills, TX
National Provider Identifier
1639747884
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81257 Issued in TX
Practice address
1406 Camp Craft Rd Ste 205
West Lake Hills, TX 78746-6583
Phone
(512) 983-7201
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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 81257 TX Primary

Addresses

Primary practice location

1406 Camp Craft Rd Ste 205
West Lake Hills, TX 78746-6583

Mailing address

4825 Davis LN Apt 124
Austin, TX 78749-4541
Phone (512) 983-7201

Other practice location 1

700 Market Street
Suite 105
Cedar Park, TX 78613
Phone (737) 228-0538

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
81257TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Recovery Institute PA PastSince May 1, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1639747884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 DAVIS LN APT 124",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494541",
            "telephone_number": "512-983-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CAMP CRAFT RD STE 205",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466583",
            "telephone_number": "512-983-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Market Street",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "78613",
            "country_code": "US",
            "telephone_number": "737-228-0538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JODY",
        "middle_name": "LEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.