Active NPI
Connie Gene Miller, LMSW CADC
- Addiction (Substance Use Disorder) Counselor
- Plummer, ID
National Provider Identifier
1770564635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CADC 1088005
- Practice address
- 1115 B St
Plummer, ID 83851 - Phone
- (208) 686-1449
- NPI assigned
- Nov 8, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CADC 1088005 | ID | Primary |
| Social Worker | 104100000X | LMSW 25983 | ID |
Addresses
Primary practice location
1115 B St
Plummer, ID 83851
Mailing address
3405 N Park Rd
Spokane Valley, WA 99212-1508
Phone (509) 927-0497
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 |
|---|---|---|---|
| CADC 1088005 | ID | MD | Addiction (Substance Use Disorder) Counselor |
| LMSW 25983 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1770564635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 N PARK RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992121508",
"telephone_number": "509-927-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 B ST",
"city": "PLUMMER",
"state": "ID",
"postal_code": "83851",
"telephone_number": "208-686-1449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CONNIE",
"middle_name": "GENE",
"name_prefix": "Ms.",
"credential": "LMSW CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "CADC 1088005",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW 25983",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plummer, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.