Individual provider Active NPI

Carolyn Miller, M.ED., CRC, LPC

  • Professional Counselor
  • Washington, PA
National Provider Identifier
1871995241
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC001182 Issued in PA
Practice address
2111 N Franklin Dr
Washington, PA 15301-5893
Phone
(724) 222-2265
Fax
(724) 222-2254
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 00016461 PA
Professional Counselor 101YP2500X PC001182 PA Primary

Addresses

Primary practice location

2111 N Franklin Dr
Washington, PA 15301-5893

Mailing address

2111 N Franklin Dr
Washington, PA 15301-5893
Phone (724) 222-2265

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
00016461PAMDCounselor
PC001182PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Dynamics, Inc. Past Accepting new patients
Behavioral Dynamics, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1871995241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 N FRANKLIN DR",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015893",
            "telephone_number": "724-222-2265",
            "fax_number": "724-222-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N FRANKLIN DR",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015893",
            "telephone_number": "724-222-2265",
            "fax_number": "724-222-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAROLYN",
        "credential": "M.ED., CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "00016461",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.