Active NPI
Susan Lynn Wilson Miller, LPC LMFT
- Professional Counselor
- Sandy Springs, GA
National Provider Identifier
1881718955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 004839
- Practice address
- 6667 Vernon Woods Dr NE Ste B27
Sandy Springs, GA 30328-3216 - Phone
- (404) 429-3732
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 004839 | GA | Primary |
| Professional Counselor | 101YP2500X | 19484 | TX | |
| Professional Counselor | 101YP2500X | 000038 | TN | |
| Marriage & Family Therapist | 106H00000X | 000184 | TN | |
| Marriage & Family Therapist | 106H00000X | 005061 | TX | |
| Marriage & Family Therapist | 106H00000X | 001055 | GA |
Addresses
Primary practice location
6667 Vernon Woods Dr NE Ste B27
Sandy Springs, GA 30328-3216
Mailing address
135 River Run
Roswell, GA 30075-4861
Phone (770) 992-8611
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 |
|---|---|---|---|
| 000038 | TN | MD | Professional Counselor |
| 001055 | GA | MD | Marriage & Family Therapist |
| 000184 | TN | MD | Marriage & Family Therapist |
| 005061 | TX | MD | Marriage & Family Therapist |
| 004839 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan LW Miller Ms LLC | 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.
-
- Mental Health Counselor
- Alpharetta, GA
- NPI 1184980369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205539200000",
"number": "1881718955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 RIVER RUN",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300754861",
"telephone_number": "770-992-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6667 VERNON WOODS DR NE STE B27",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303283216",
"telephone_number": "404-429-3732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SUSAN",
"middle_name": "LYNN WILSON",
"name_prefix": "Ms.",
"credential": "LPC LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2008-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "004839",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19484",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "000038",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "000184",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "005061",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "001055",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.