Active NPI
Samantha J Miller, LPC
- Mental Health Counselor
- Lees Summit, MO
National Provider Identifier
1669821997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2018012084
- Practice address
- 901 NE Independence Ave
Lees Summit, MO 64086-5544 - Phone
- (816) 347-3286
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 2018012084 | MO | Primary |
Addresses
Primary practice location
901 NE Independence Ave
Lees Summit, MO 64086-5544
Mailing address
901 NE Independence Ave
Lees Summit, MO 64086-5544
Phone (816) 966-0900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018012084 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1669821997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 NE INDEPENDENCE AVE",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640865544",
"telephone_number": "816-966-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 NE INDEPENDENCE AVE",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640865544",
"telephone_number": "816-347-3286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SAMANTHA",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2018012084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.