Active NPI
Kyle Miller
- Counselor
- Tulsa, OK
National Provider Identifier
1831800085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 12671
- Practice address
- 650 S Peoria Ave
Tulsa, OK 74120-4429 - Phone
- (918) 712-4301
- NPI assigned
- Dec 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 12671 | OK | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
650 S Peoria Ave
Tulsa, OK 74120-4429
Mailing address
923 N Cheyenne Ave
Tulsa, OK 74106-5127
Phone (052) 503-8584
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 |
|---|---|---|---|
| 12671 | OK | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1831800085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 N CHEYENNE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741065127",
"telephone_number": "052-503-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 S PEORIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741204429",
"telephone_number": "918-712-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-08",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "12671",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.