Individual provider Active NPI

Kendra Miller, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Bismarck, ND
National Provider Identifier
1871356378
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1963 Issued in ND
Practice address
101 E Broadway Ave
Bismarck, ND 58501-3840
Phone
(701) 222-0386
NPI assigned
Feb 6, 2024
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6532 ND
Addiction (Substance Use Disorder) Counselor 101YA0400X 1963 ND Primary

Addresses

Primary practice location

101 E Broadway Ave
Bismarck, ND 58501-3840

Mailing address

101 E Broadway Ave
Bismarck, ND 58501-3840
Phone (701) 222-0386

Other practice location 1

305 N 23rd St
Bismarck, ND 58501-4992
Phone (701) 222-0386

Other practice location 2

7448 68th Ave NE
Cando, ND 58324-9485
Phone (701) 222-0386

Other practice location 3

30 7th St W Fl 4
Dickinson, ND 58601-4335
Phone (701) 222-0386

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

LicenseStateTypeSpecialty
1963NDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1871356378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013840",
            "telephone_number": "701-222-0386",
            "fax_number": "701-291-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013840",
            "telephone_number": "701-222-0386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 N 23rd St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014992",
            "country_code": "US",
            "telephone_number": "701-222-0386",
            "fax_number": "701-291-8456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7448 68th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Cando",
            "state": "ND",
            "postal_code": "583249485",
            "country_code": "US",
            "telephone_number": "701-222-0386",
            "fax_number": "701-291-8456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 7th St W Fl 4",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586014335",
            "country_code": "US",
            "telephone_number": "701-222-0386",
            "fax_number": "701-291-8456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KENDRA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "6532",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.