William David Miller, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004441 Issued in GA

Practice address

3985 Steve Reynolds Blvd
BLDG B Suite a
Norcross, GA 30093-3035

Phone

(706) 442-9127

Fax

(678) 921-0354

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Domina Umbrae LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1053748947
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1831282326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HIGH HARDIN WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436091",
            "telephone_number": "706-442-9127",
            "fax_number": "770-419-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 STEVE REYNOLDS BLVD",
            "address_2": "BLDG B SUITE A",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933035",
            "telephone_number": "706-442-9127",
            "fax_number": "678-921-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSURE NUMBER",
            "identifier": "LPC004441",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milestone Administration LLC
• Angela Renee Miller, CPT
• Helen-Scott Milner Miller
• Jessica Miller
• Terra Miller
• Anna Milligan, BCBA
• Clare Anne Rottenborn Milliron
• Mim Urgent Care & Family Practice Inc
• Dawei Ming
• Miracles Outreach International

• Professional Counselor in Norcross, GA
• Providers in Norcross, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.