Individual provider Active NPI

Carol Miller

  • Professional Counselor
  • Victoria, TX
National Provider Identifier
1689355059
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
85974 Issued in TX
Practice address
506 Glascow St
Victoria, TX 77904-1406
Phone
(361) 576-3385
NPI assigned
Jul 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 85974 TX Primary

Addresses

Primary practice location

506 Glascow St
Victoria, TX 77904-1406

Mailing address

506 Glascow St
Victoria, TX 77904-1406

Other names 1

  • Carol Wendel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204003659 TX Practitioner - Mental Health Counselor 2365890100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reclamation Counseling Center PCGroup PAC ID 7113987066, 5 clinicians

Practice addresses (Care Compare)

506 Glascow St
Victoria, TX 77904-1406
Phone (361) 576-3385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reclamation Counseling Center, PC Professional CurrentSince Jan 1, 2024 Accepting new patients
Reclamation Counseling Center, PC PastSince Jul 31, 2023 Accepting new patients

Locations

506 Glascow St
Victoria, TX 77904
Phone (361) 576-3385

Organizations & group practices 2

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": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1689355059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 GLASCOW ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GLASCOW ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041406",
            "telephone_number": "361-576-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "WENDEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.