Active NPI
Doreen Millicent Miller, RHD
- Counselor
- Baton Rouge, LA
National Provider Identifier
1811266844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1058
- Practice address
- 649 Saint Landry Street
Baton Rouge, LA 70806 - Phone
- (225) 202-8430
- Fax
- (225) 924-9812
- NPI assigned
- Dec 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1058 | LA | Primary |
| Counselor | 101Y00000X | 00013130 | IL |
Addresses
Primary practice location
649 Saint Landry Street
Baton Rouge, LA 70806
Mailing address
649 Saint Landry Street
Baton Rouge, LA 70806
Phone (225) 202-8430
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 |
|---|---|---|---|
| 00013130 | IL | MD | Counselor |
| 1058 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1811266844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 SAINT LANDRY STREET",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70806",
"telephone_number": "225-202-8430",
"fax_number": "225-924-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "649 SAINT LANDRY STREET",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70806",
"telephone_number": "225-202-8430",
"fax_number": "225-924-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DOREEN",
"middle_name": "MILLICENT",
"name_prefix": "Dr.",
"credential": "RHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-20",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "1058",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "00013130",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.