Individual provider Active NPI

Kelly C. Grose Miller, PLPC, NCC

  • Addiction (Substance Use Disorder) Counselor
  • Gretna, LA
National Provider Identifier
1700472529
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
8339 Issued in LA
Practice address
1141 Whitney Ave
Gretna, LA 70056-5011
Phone
(504) 347-1120
NPI assigned
Dec 16, 2020
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 8339 LA Primary

Addresses

Primary practice location

1141 Whitney Ave
Gretna, LA 70056-5011

Mailing address

1141 Whitney Ave
Gretna, LA 70056-5011
Phone (504) 347-1120

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Kelly.Grose@bhgrecovery.com Direct
Direct Messaging Address Kelly.Grose@bhgrecovery.com Direct

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
8339LAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1700472529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 WHITNEY AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565011",
            "telephone_number": "504-347-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 WHITNEY AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565011",
            "telephone_number": "504-347-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSE MILLER",
        "first_name": "KELLY",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "PLPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "8339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kelly.Grose@bhgrecovery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1141 Whitney Ave",
            "city": "Gretna",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700565011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kelly.Grose@bhgrecovery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1141 Whitney Ave",
            "city": "Gretna",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700565011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.