Heather C Miller- Edwardson, MA, LPC,LLMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401013676 Issued in MI

Practice address

500 Cascade West Pkwy SE Ste 100
Grand Rapids, MI 49546-2127

Phone

(269) 757-4867

NPI assigned

Aug 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Burke Group Counseling & Consulting Professionals LLC

  • Clinical Social Worker
  • Grandville, MI
  • NPI 1639593627

  Professional

  NPD (past)
• Miller-Edwardson Counseling PLC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1578119038
  NPD (past)

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1831521566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788",
            "fax_number": "517-676-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CASCADE WEST PKWY SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462127",
            "telephone_number": "269-757-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER- EDWARDSON",
        "first_name": "HEATHER",
        "middle_name": "C",
        "credential": "MA, LPC,LLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006578",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Millard
• Katelynn A Millard, PA-C
• Susan L Millard, MD
• Illyssa-Ashley Marie Millenbach, LMT
• Miller Dental Associates, PC
• Jaime Miller-Aten, DROT, OTRL
• Miller-Edwardson Counseling PLC
• Stesha Miller-Jones
• Abigail Creese Miller, NP
• Adam David Miller, M.D.

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.