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Deactivated NPI 1891142287 Deactivated / Inactive NPI Female Practitioner

Stephanie Miller , MA, LPCC, RPT

Counselor - Professional • Eagan, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stephanie Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 16, 2016
NPI Deactivation Date October 13, 2023
Total Practice Duration ~7 Years of Practice (2016 – 2023)

Professional Overview & Biography Verified Profile Summary

Stephanie Miller, MA, LPCC, RPT was a registered Counselor - Professional practicing in Eagan, MN. Throughout an active medical career spanning 7 years, Stephanie Miller provided care at the practice location at 3460 WASHINGTON DR until profile deactivation on 2023-10-13.

Practice Location & Contact Primary Location

Practice Address

3460 Washington Dr
Suite 110

Eagan, MN 551221338

Telephone 6514521618
Fax 6516880481

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Eagan, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
29 Specialists

Practicing in Eagan, MN (2422 Statewide)

Telehealth Adoption Rate
6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN CC01329

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. David Kyllo , MD

Family Medicine

NPI 1003811464

Doctor of Medicine (M.D.)

Amber John

Counselor - Mental Health

NPI 1942755616

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 13, 2023

Record deactivated on October 13, 2023

NPI Profile Active November 29, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 29, 2016

Registered at 3460 WASHINGTON DR, SUITE 110, EAGAN, MN 551221338 (Tel: 6514521618)

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Updated Business Mailing Address November 29, 2016

Registered at 14962 DUFFERIN CT, SAVAGE, MN 553784688 (Tel: 6123288517)

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Provider Name / Credentials Updated November 29, 2016

Recorded as STEPHANIE MILLER, MA, LPCC, RPT

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2016

Counselor (License #CC01329 in MN)

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Initial NPI Registration & Enumeration May 16, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891142287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2016
Last Update: November 29, 2016
Deactivation Date: October 13, 2023

Mailing Address

14962 Dufferin Ct

Savage, MN 553784688

Phone: 6123288517

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.