Lori A Miller, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CCMH095391 Issued in NM

Practice address

3600 Rodeo LN Ste B6
Santa Fe, NM 87507-5801

Phone

(505) 218-6383

Fax

(505) 636-6338

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• GD Psych Services, LLC

  • Psychologist
  • Rio Rancho, NM
  • NPI 1801379433

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1750022703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 JOSHUA LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074855",
            "telephone_number": "505-239-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 RODEO LN STE B6",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075801",
            "telephone_number": "505-218-6383",
            "fax_number": "505-636-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH095391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miller@gdpsychservices.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3600 Rodeo Ln Ste B6",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875075801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Candace Miller, MS, PA-C
• Diana C Miller, M.D.
• Jasmine Miller
• Kerry L Miller, D.C.
• Lillian Joy Miller, RN, IBCLC
• Marian Shannon Miller
• Natalie M Miller
• Rebecca Jo Miller, M.A., CCC-SLP
• Zahira Amanda Miller, LPCC
• Shannon Lee Milligan

• Mental Health Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.