Individual provider Active NPI

Kara Boivin Miller, LMSW

  • Mental Health Counselor
  • Wallkill, NY
National Provider Identifier
1942910658
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
084904 Issued in NY
Practice address
325 Bruyn Tpke
Wallkill, NY 12589-3510
Phone
(845) 467-9268
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 084904 NY Primary

Addresses

Primary practice location

325 Bruyn Tpke
Wallkill, NY 12589-3510

Mailing address

5172 Western Tpke
Altamont, NY 12009-3810
Phone (518) 462-1094

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kmiller@rehab.org Direct REHABILITATION SUPPORT SERVICES, INC

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

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1942910658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5172 WESTERN TPKE",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120093810",
            "telephone_number": "518-462-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BRUYN TPKE",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125893510",
            "telephone_number": "845-467-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOIVIN MILLER",
        "first_name": "KARA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "084904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kmiller@rehab.org",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "REHABILITATION SUPPORT SERVICES, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5172 Western Tpke",
            "city": "Altamont",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120093810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wallkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.