KATELYNN RENEE MILLER MA, LPC, NCC
NPI 1124535489
Counselor in Jackson, MI

Active since January 08, 2018PECOS Enrolled
1200 N WEST AVE, JACKSON, MI 49202(517) 789-1209 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2026, Jul 23, 2024, Jan 8, 2018 (3 updates tracked since 2018).

About Katelynn Renee Miller Ma, Lpc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYNN RENEE MILLER MA, LPC, NCC (NPI 1124535489) is an individual counselor in Jackson, Michigan, licensed in Michigan (6401019111) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124535489
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKATELYNN RENEE MILLERCredential: MA, LPC, NCC
Location Address1200 N WEST AVEJackson, MI 49202-2179
Mailing Address2453 Shirley DrJackson, MI 49202-1523 · (517) 215-0220
Sole ProprietorYes
Enumeration DateJanuary 8, 2018
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1124535489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MI · 6401019111
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1200 N WEST AVE, Jackson, MI 49202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katelynn Renee Miller Ma, Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1200 N WEST AVE, SUITE 400
JACKSON, MI 49202
Counselor (Mental Health)
1200 N WEST AVE
JACKSON, MI 49202
Social Worker
1200 N WEST AVE, SUITE 600
JACKSON, MI 49202
Counselor (Mental Health)
1200 N WEST AVE, SUITE 400
JACKSON, MI 49202
Dietitian, Registered
1200 N WEST AVE, SUITE 300
JACKSON, MI 49202
Counselor (Mental Health)
1200 N WEST AVE, SUITE 400
JACKSON, MI 49202
Case Manager/Care Coordinator
1200 N WEST AVE
JACKSON, MI 49202
Registered Nurse
1200 N WEST AVE
JACKSON, MI 49202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelynn Miller's NPI number?

The NPI number for Katelynn Miller is 1124535489. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Katelynn Miller located?

Katelynn Miller practices at 1200 N West Ave, Jackson, MI 49202. The listed phone number is (517) 789-1209.

What is Katelynn Miller's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Katelynn Miller enrolled in Medicare?

Yes. Katelynn Miller is registered in the Medicare PECOS enrollment system.

What insurance does Katelynn Miller accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Katelynn Miller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelynn Miller was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.