Beverly Jean Miller, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000179 Issued in NY

Practice address

4610 Bluebird Rd
Canandaigua, NY 14424-9735

Phone

(585) 396-0590

Fax

(585) 393-9477

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871500603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 STATE ROUTE 364",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249754",
            "telephone_number": "585-554-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 BLUEBIRD RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249735",
            "telephone_number": "585-396-0590",
            "fax_number": "585-393-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BEVERLY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Susco, MD
• Alexandria Virginia Michaels, NP
• Jennifer Denise Michaud, RN
• Marianne Miles, NP, PHD
• Ann R. Miller, D.C.
• Sarah Miller
• Staci May Miller, PHARM D.
• Taylor Miller, FNP
• Ralph Anthony Minervino, DPM
• Kristen R Miskey, P.T.

• Mental Health Counselor in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.