Jesse Miller, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

265584 Issued in KY

Practice address

180 Bryson Way
Richmond, KY 40475-7999

Phone

(270) 405-0687

NPI assigned

Jun 15, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in KY

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Psychmind Counseling and Psychiatry LLC

  • Psychiatry Physician
  • Richmond, KY
  • NPI 1184337412
  Medicare reassignment NPD
• Alternative Youth Services, Inc.

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1497378111
  NPD (past)

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1982389243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BRYSON WAY",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757999",
            "telephone_number": "270-405-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BRYSON WAY",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757999",
            "telephone_number": "270-405-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "265584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Lynae Miller
• Darcy B Miller, LPCC
• James Earl Miller, M.D.
• James Thomas Miller
• Jennifer Miller, BS
• Joan Marie Miller, DVM, MA
• Kelly Nicole Miller, APRN
• Lucas Miller
• Samuel A Miller, MA
• Summer Miller

• Mental Health Counselor in Richmond, KY
• Providers in Richmond, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.