Individual provider Active NPI

Jennifer Miller, LPC

  • Counselor
  • Saint Louis, MO
National Provider Identifier
1972915221
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2014015253 Issued in MO
Practice address
10004 Kennerly Rd Ste 280B
Saint Louis, MO 63128-2177
Phone
(314) 525-7296
NPI assigned
May 21, 2014
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2014015253 MO Primary

Addresses

Primary practice location

10004 Kennerly Rd Ste 280B
Saint Louis, MO 63128-2177

Mailing address

10004 Kennerly Rd Ste 280B
Saint Louis, MO 63128-2177
Phone (314) 525-7296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014015253MOMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy East Support Services, LLC CurrentSince Nov 18, 2024 Accepting new patients
Agape Christian Counseling Services Past Accepting new patients
The Right Solution, Inc. Past Accepting new patients

Locations

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1972915221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 280B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282177",
            "telephone_number": "314-525-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 280B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282177",
            "telephone_number": "314-525-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2014015253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.