Jackie L Miller , LPC
Counselor - Professional • Beloit, WI
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, Jackie Miller has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jackie Miller, LPC was a registered Counselor - Professional practicing in Beloit, WI. Throughout an active medical career spanning 2 years, Jackie Miller provided care at the practice location at 1517 E HUEBBE PKWY STE A until profile deactivation on 2019-02-14.
Practice Location & Contact Primary Location
1517 E Huebbe Pkwy Ste A
Beloit, WI 535111795
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Beloit, WI
Practicing in Beloit, WI (4511 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2020-04-09NUCC Taxonomy Code: 101YP2500X
Definition to come...
NUCC Taxonomy Code: 101YM0800X
Definition to come...
NUCC Taxonomy Code: 376K00000X
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Mental Health
Social Worker - Clinical
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1517 E HUEBBE PKWY STE A, BELOIT, WI 535111795 (Tel: 6082915891)
Registered at 1517 E HUEBBE PKWY STE A, BELOIT, WI 535111795 (Tel: 6082915891)
Recorded as JACKIE MILLER, LPC
Counselor (License #7632-125 in WI)
Registered at 816 4TH ST STE 203, BELOIT, WI 535114431 (Tel: 6082915891)
Registered at 816 4TH ST STE 203, BELOIT, WI 535114431 (Tel: 6082915891)
Recorded as JACKIE MILLER, LPC-IT
Counselor (License #3482-226 in WI)
Record officially reactivated for active practice on February 22, 2019
Record deactivated on February 14, 2019
NPI status registered as active in NPPES database
Registered at 136 W GRAND AVE STE 250, BELOIT, WI 535116273 (Tel: 6083468315)
Registered at 1213 MERRILL AVE, BELOIT, WI 535115029 (Tel: 6082079401)
Recorded as JACKIE MILLER
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1517 E Huebbe Pkwy Ste A
Beloit, WI 535111795
Phone: 6082915891
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