Jennifer Lynn Miller, LGPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP10914 Issued in MD

Practice address

9475 Deereco Rd Ste 410
Lutherville Timonium, MD 21093-2124

Phone

(410) 560-6135

Fax

(410) 560-6136

NPI assigned

Sep 4, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Core Clinical Services

  • Clinical Psychologist
  • Timonium, MD
  • NPI 1649656943
  NPD
• Core Counseling Services Co

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Timonium, MD
  • NPI 1164895546
  NPD

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1942086293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 DEERECO RD STE 410",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932124",
            "telephone_number": "410-560-6135",
            "fax_number": "410-560-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 DEERECO RD STE 410",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932124",
            "telephone_number": "410-560-6135",
            "fax_number": "410-560-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP10914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shakia Mixon, NP
• MLC Counseling and Holistic Wellness, LLC
• Anna Moochoon, MA

• All providers in Lutherville Timonium, MD
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.