Active NPI
Jerry E Miller, MS, LCPC
- Professional Counselor
- Hamilton, MT
National Provider Identifier
1790795367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 987
- Practice address
- 209 N 10TH St
Hamilton, MT 59840-2357 - Phone
- (406) 532-9101
- Fax
- (406) 363-4498
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 987 | MT | Primary |
Addresses
Primary practice location
209 N 10TH St
Hamilton, MT 59840-2357
Mailing address
T-9 Fort Missoula
Missoula, MT 59804-7202
Phone (406) 532-8400
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 987 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790795367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "T-9 FORT MISSOULA",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047202",
"telephone_number": "406-532-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 N 10TH ST",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402357",
"telephone_number": "406-532-9101",
"fax_number": "406-363-4498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JERRY",
"middle_name": "E",
"credential": "MS, LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.