Individual provider Active NPI

Courtney K Miller, PH.D.

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1699789768
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
699 Issued in NE
Practice address
8055 O St Ste 301
Lincoln, NE 68510-2564
Phone
(402) 489-1834
Fax
(402) 489-2046
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 699 NE Primary

Addresses

Primary practice location

8055 O St Ste 301
Lincoln, NE 68510-2564

Mailing address

8055 O St Ste 301
Lincoln, NE 68510-2564
Phone (402) 489-1834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20080912000114 NE Practitioner - Clinical Psychologist 6608942875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immaculate Heart of Mary Counseling CenterGroup PAC ID 8628424181, 7 clinicians

Practice addresses (Care Compare)

3700 Sheridan Blvd
Suite 1
Lincoln, NE 68506-6100
Phone (402) 489-1834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1699789768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 O ST STE 301",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102564",
            "telephone_number": "402-489-1834",
            "fax_number": "402-489-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 O ST STE 301",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102564",
            "telephone_number": "402-489-1834",
            "fax_number": "402-489-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "COURTNEY",
        "middle_name": "K",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.