Individual provider Active NPI

Avery Miller, LMHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1881209831
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CTB-2023-0774 Issued in NM
Practice address
901 Rio Grande Blvd NW Ste H160
Albuquerque, NM 87104-2063
Phone
(505) 278-0807
NPI assigned
Sep 15, 2020
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Mental Health Counselor 101YM0800X CTB-2023-0774 NM Primary

Addresses

Primary practice location

901 Rio Grande Blvd NW Ste H160
Albuquerque, NM 87104-2063

Mailing address

901 Rio Grande Blvd NW Ste H160
Albuquerque, NM 87104-2063
Phone (505) 278-0807

Other practice location 1

1817 Wellspring Ave SE Ste D
Rio Rancho, NM 87124-4956
Phone (505) 828-3837

Other practice location 2

8500 Washington St NE Ste A1
Albuquerque, NM 87113-1861
Phone (505) 828-3837

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
CTB-2023-0774NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1881209831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW STE H160",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042063",
            "telephone_number": "505-278-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW STE H160",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042063",
            "telephone_number": "505-278-0807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1817 Wellspring Ave SE Ste D",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244956",
            "country_code": "US",
            "telephone_number": "505-828-3837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8500 Washington St NE Ste A1",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871131861",
            "country_code": "US",
            "telephone_number": "505-828-3837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AVERY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2023-0774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.