DEIRDRE JEAN MILLER (NPI# 1659978880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659978880 |
Entity Type | Individual |
Full Name | DEIRDRE JEAN MILLER |
Credential | CADAC II |
Practice Address |
1101 N Jim Day Rd Ste 109 Salem IN 47167-5201 |
Mailing Address |
6861 S Bud Miller Rd Salem IN 47167-8185 |
Practice Telephone | 8126206170 |
Mailing Telephone | 8126206170 |
Enumeration Date | 2020-10-01 |
Last Update Date | 2020-10-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C2-2023 | IN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174878276 | Deirdre E. Miller | Counselor | 3710 Pecan Ct, Manvel, TX 77578-3222 | 2012-07-16 |
Street Address |
1101 N JIM DAY RD STE 109 |
City | SALEM |
State | IN |
Zip Code | 47167-5201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679951792 | Forefront Dermatology, S.c. | Dermatology | 911 N Shelby Street, St. Vincent Salem Hospital, Specialty Clinic, Salem, IN 47167 | 2015-05-08 |
1407188162 | Sheila Belamour | Physical Therapy Assistant | 900 Anson Street, Salem, IN 47167 | 2010-02-05 |
1598988834 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 N. Nichols Ave., Salem, IN 47167 | 2007-04-11 |
1740303973 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75 E. Oak Dr, Salem, IN 47167 | 2007-04-10 |
1689709594 | Renal Treatment Centers Illinois Inc | Clinic/Center | 1201 N Jim Day Road, Ste 103, Salem, IN 47167 | 2007-02-22 |
1780738161 | Martin F Kennedy Dds PC | Dentist | 1600 S State Rd 135, Salem, IN 47167 | 2007-01-22 |
1114079449 | Gene F Hedrick Dds PC | Dentist | 100 North Harrison Street, Salem, IN 47167 | 2007-01-17 |
1689626038 | Kristen Ingram | Family Medicine | 1002 N Shelby St Ste 1004, Salem, IN 47167 | 2006-05-16 |
1952825564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 S Main St, Salem, IN 47167 | 2017-07-26 |
1558770370 | Ashlee Austin | Occupational Therapist | 900 Anson St, Salem, IN 47167 | 2014-08-06 |
Find all providers in zip 47167 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134736168 | Melissa Thi Lu | Counselor | 2045 Silverton Rd Ne Ste 2100, Salem, OR 97301-0100 | 2020-09-24 |
1841805959 | Korben J Chesnut-petry | Counselor | 1325 Commercial St Se, Salem, OR 97302-4205 | 2020-09-15 |
1598383846 | Jorge Montejano | Counselor | 223 Commercial St Ne, Salem, OR 97301-3411 | 2020-07-13 |
1154956837 | Bobbie J Dawson | Counselor | 215 Barrs Ln, C/o Dawson, Salem, WV 26426-6224 | 2020-03-03 |
1902457773 | Jorge Arredondo | Counselor | 16 Heritage Dr Apt 15, Salem, MA 01970-2034 | 2019-09-24 |
1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
1659866911 | Chakra LLC | Counselor | 161 High St Se Ste 209, Salem, OR 97301-3693 | 2018-06-28 |
1346731114 | Robert Bathke | Counselor | 525 Ferry St Se Ste 203, Salem, OR 97301-3743 | 2018-05-28 |
1316453186 | Melody Sue Nova | Counselor | 2045 Silverton Rd Ne Ste A, Salem, OR 97301-0100 | 2017-12-15 |
1003325200 | Ted Woodruff | Counselor | 3325 Harold Drive, Salem, OR 97305-9730 | 2017-09-20 |
Find all providers in SALEM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.