Individual provider Active NPI

Stacy L Miller, P.C.C

  • Community/Behavioral Health Agency
  • Dublin, OH
National Provider Identifier
1770730244
Registry record updated Aug 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C.0701075 Issued in OH
Practice address
6500 Emerald Pkwy
Ste 100
Dublin, OH 43016-6235
Phone
(614) 503-0664
Fax
(614) 503-0665
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C.0701075 OH Primary

Addresses

Primary practice location

6500 Emerald Pkwy
Ste 100
Dublin, OH 43016-6235

Mailing address

6500 Emerald Pkwy
Ste 100
Dublin, OH 43016-6235
Phone (614) 503-0664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241211001764 OH Practitioner - Mental Health Counselor 3274993423 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.0701075OHMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Counseling, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

6500 Emerald Pkwy
Ste 100
Dublin, OH 43016
Phone (419) 680-2423

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471132800000",
    "number": "1770730244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 EMERALD PKWY",
            "address_2": "STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166235",
            "telephone_number": "614-503-0664",
            "fax_number": "614-503-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 EMERALD PKWY",
            "address_2": "STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166235",
            "telephone_number": "614-503-0664",
            "fax_number": "614-503-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STACY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "P.C.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2016-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "C.0701075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.