Active NPI
Lisa Jeanette Miller, M.ED
- Professional Counselor
- Redmond, OR
National Provider Identifier
1912128018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68066
- Practice address
- 1379 SW 15TH St
Redmond, OR 97756-2905 - Phone
- (541) 548-6166
- Fax
- (541) 548-6168
- NPI assigned
- May 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 68066 | MT | Primary |
Addresses
Primary practice location
1379 SW 15TH St
Redmond, OR 97756-2905
Mailing address
61279 Fairfield Drive
Bend, OR 97702-2735
Phone (541) 317-5803
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
| License | State | Type | Specialty |
|---|---|---|---|
| 68066 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Child Treatment Center, Inc. | 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.
-
- Voluntary or Charitable Agency
- Redmond, OR
- NPI 1316095896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912128018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61279 FAIRFIELD DRIVE",
"city": "BEND",
"state": "OR",
"postal_code": "977022735",
"telephone_number": "541-317-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1379 SW 15TH ST",
"city": "REDMOND",
"state": "OR",
"postal_code": "977562905",
"telephone_number": "541-548-6166",
"fax_number": "541-548-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LISA",
"middle_name": "JEANETTE",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "68066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, OR
Sources for this page
- 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.