Active NPI
Edna Miller
- Professional Counselor
- Signal Hill, CA
National Provider Identifier
1841527371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 01-097544
- Practice address
- 1984 Obispo Ave
Suite 1a
Signal Hill, CA 90755-1234 - Phone
- (310) 628-9512
- Fax
- (562) 683-0386
- NPI assigned
- Nov 4, 2009
- Sex
- Female
- 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 | 01-097544 | CA | Primary |
Addresses
Primary practice location
1984 Obispo Ave
Suite 1a
Signal Hill, CA 90755-1234
Mailing address
PO Box 92619
Long Beach, CA 90809-2619
Phone (310) 628-9512
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 |
|---|---|---|---|
| 01-097544 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dual Diagnosis Assessment and Treatment Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Signal Hill, CA
- NPI 1437440542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1841527371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92619",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908092619",
"telephone_number": "310-628-9512",
"fax_number": "562-683-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1984 OBISPO AVE",
"address_2": "SUITE 1A",
"city": "SIGNAL HILL",
"state": "CA",
"postal_code": "907551234",
"telephone_number": "310-628-9512",
"fax_number": "562-683-0386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "EDNA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "01-097544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Signal Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.