Individual provider Active NPI

Kary R Miller, LCPC

  • Mental Health Counselor
  • Barrington, IL
National Provider Identifier
1972140267
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180012565 Issued in IL
Practice address
18-6 E Dundee Rd Ste 220
Barrington, IL 60010-7404
Phone
(224) 634-4455
NPI assigned
Dec 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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 180012565 IL Primary

Addresses

Primary practice location

18-6 E Dundee Rd Ste 220
Barrington, IL 60010-7404

Mailing address

18-6 E Dundee Rd Ste 220
Barrington, IL 60010-7404
Phone (224) 634-4455

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lifegate-counseling.com Direct

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
180012565ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1972140267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-6 E DUNDEE RD STE 220",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600107404",
            "telephone_number": "224-634-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-6 E DUNDEE RD STE 220",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600107404",
            "telephone_number": "224-634-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KARY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lifegate-counseling.com",
            "affiliation": "N",
            "endpointDescription": "Website secure contact portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18-6 E Dundee Rd Ste 220",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600107404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.