JACKIE CHARLENE MILLER (NPI# 1861001117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861001117 |
| Entity Type | Individual |
| Full Name | JACKIE CHARLENE MILLER |
| Credential | LPC |
| Practice Address |
1910 37th Ave Phenix City AL 36870-3528 |
| Practice Telephone | 7065660805 |
| Mailing Telephone | 7065660805 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
LPC010997 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 196506062019 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922549567 | Jackie L Miller | Counselor | 1517 E Huebbe Pkwy Ste A, Beloit, WI 53511-1795 | 2017-03-15 |
| 1003875311 | Jackie L Miller | Hearing Instrument Specialist | 4110 Brainerd Rd, Chattanooga, TN 37411-3700 | 2006-03-23 |
| 1316396492 | Jackie S Miller | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2016-06-08 |
| 1235542770 | Jackie Elaine Miller | Registered Nurse | 1880 Canton Rd, Akron, OH 44312-4074 | 2014-06-03 |
| 1770679664 | Jackie May Miller | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2006-10-05 |
| 1053353045 | Jackie S Miller | Family Medicine | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2006-06-12 |
| 1205899507 | Jackie Robinson Miller | Family Medicine | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2006-04-08 |
| Street Address |
1910 37TH AVE |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36870-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116426 | Sara Ann Underwood | Technician/Technologist | 3922a Us Hwy 80 West, Phenix City, AL 36870 | 2020-05-18 |
| 1043797228 | Alicia Lynn Morris | Nurse Practitioner | 678 Lee Road 450, Phenix City, AL 36870 | 2018-07-20 |
| 1407273816 | Susan Miles | Community Health Worker | 307 Lee Rd 441, Phenix City, AL 36870 | 2014-03-24 |
| 1700217593 | Sunshine Spinal Center | Family Medicine | 3304 Us Highway 80 West, B-1, Phenix City, AL 36870 | 2013-12-05 |
| 1114016094 | James Stratford Williams | Physician Assistant | 904 Lee Road 2017, Phenix City, AL 36870 | 2006-10-11 |
| 1659634137 | Riverchase Dental Care | Dentist | 5009 Riverchase Drive, Building 100 Suite B, Phenix City, AL 36870 | 2012-06-20 |
| 1962032474 | Adrianna Taylor Reagan | Student in an Organized Health Care Education/Training Program | 74 Lee Road 2138, Phenix City, AL 36870-1007 | 2020-01-23 |
| 1518583442 | Latonia Davis | Private Vehicle | 438 Lee Road 2090, Phenix City, AL 36870-1075 | 2020-06-16 |
| 1255678363 | Bryce Andrew Ciancio | Specialist/Technologist | 2400 Dobbs Dr, Phenix City, AL 36870-2305 | 2013-01-09 |
| 1780154856 | Lillian Thomas Barker | Specialist/Technologist | 2400 Dobbs Dr, Phenix City, AL 36870-2305 | 2018-11-30 |
| Find all providers in zip 36870 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233033 | Richard Chase Morris | Psychologist | 2800 5th Ave, Phenix City, AL 36867-4129 | 2020-07-27 |
| 1285805432 | Counseling, Inc. | Psychologist | 1011 280 Bypass, Phenix City, AL 36867-6608 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700812 | Daniel A. Maddox | Psychologist | 100 Creekwood Ln, Helena, AL 35080-3272 | 2020-11-05 |
| 1437767472 | Dennis Allen Donahue | Psychologist | 30 Richardson Dr, Daleville, AL 36322-2213 | 2020-07-15 |
| 1629546213 | Jeffery B Henderson | Psychologist | 950 Highway 431 Ste 1, Roanoke, AL 36274-7314 | 2018-11-13 |
| 1366991119 | Brooke Nowak | Psychologist | 528 E University Dr, Auburn, AL 36830-6850 | 2016-09-21 |
| 1093138695 | Christopher Narcisse | Psychologist | 256 County Road 45, Thomasville, AL 36784-3725 | 2014-02-03 |
| 1548533169 | Ashley Beth Hampton | Psychologist | 6052 Cathwick Dr, Mc Calla, AL 35111-3478 | 2012-02-13 |
| 1902128127 | Charles Daniel Crosby | Psychologist | 2704 Gaines Rd Se, Huntsville, AL 35803-1358 | 2010-02-16 |
| 1487896346 | Annette S. Kluck | Psychologist | 2084 Haley Ctr, Auburn, AL 36849-0001 | 2009-03-24 |
| 1912152505 | Thomas Scott Maple | Psychologist | 609 Lismore Dr, Opelika, AL 36804-6182 | 2008-11-24 |
| 1346447612 | Erik Paul Goldschmidt | Psychologist | 26 N Florida St, Mobile, AL 36607-3108 | 2007-06-29 |
| Find all providers with the same taxonomy | ||||
| City | PHENIX CITY |
| Zip Code | 36870 |
Please comment or provide details below to improve the information on JACKIE CHARLENE MILLER.
| 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.