Individual provider Active NPI

Holly Nichol Miller, LMHC

  • Mental Health Counselor
  • Hiawatha, IA
National Provider Identifier
1649785775
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
088020 Issued in IA
Practice address
1055 Longfellow Dr.
Suite D
Hiawatha, IA 52233-2024
Phone
(319) 213-1764
Fax
(319) 409-9411
NPI assigned
Dec 12, 2017
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 088020 IA Primary

Addresses

Primary practice location

1055 Longfellow Dr.
Suite D
Hiawatha, IA 52233-2024

Mailing address

1055 Longfellow Dr.
Suite D
Hiawatha, IA 52233-2024
Phone (319) 213-1764

Other names 1

  • Holly Miller Professional name

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
088020IAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1649785775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 LONGFELLOW DR.",
            "address_2": "SUITE D",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332024",
            "telephone_number": "319-213-1764",
            "fax_number": "319-409-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 LONGFELLOW DR.",
            "address_2": "SUITE D",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332024",
            "telephone_number": "319-213-1764",
            "fax_number": "319-409-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HOLLY",
        "middle_name": "NICHOL",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "088020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "MILLER",
            "credential": "LMHC, LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.