Constance E. Miller, LPC
Individual provider Active NPI Mental Health Counselor · Spring Lake, NJ
NPI 1780899088 · NPPES record last updated Jun 20, 2012
Key facts
- NPI
- 1780899088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 37PC00007300 (NJ)
- Practice address
- 620 Shore Rd
Spring Lake, NJ 07762-1854 - Phone
- (739) 974-1978
- Fax
- (609) 361-7722
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00007300 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Lake Heights Counseling Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00007300 | NJ | Yes |
Addresses
Primary practice location
620 Shore Rd
Spring Lake, NJ 07762-1854
Mailing address
620 Shore Rd
Spring Lake, NJ 07762-1854
Phone (739) 974-1978
Other providers in Spring Lake, NJ
- Shannon Marie McDermott
- Amy Lynn McGowan Dowd
- Hannah McLane
- Mern Enterprises
- Donald M Micallef
- Kim Ann Moore
- More Than Capable
- MVCG Psychotherapy Services, LLC
- Bryan T Nadrowski
- Laurette Nagy
All providers in Spring Lake, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.