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Katelynn Renee Miller , MA, LPC, NCC

Counselor β€’ Jackson, MI

Active NPI 1124535489 Individual Practitioner Female Practitioner
Practice location in NPPES

1200 N West Ave
Jackson, MI 492022179

Call 5177891209 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1200 N West Ave

Jackson, MI 492022179

Telephone 5177891209
Organization at the Same NPPES Address or Phone
Recovery Technology Llc Facility NPI 1144259094

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Katelynn Miller as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Michigan

66 active clinicians are listed under Counselor with a practice address in Jackson, MI (2,519 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

3% of these 66 clinicians have the CMS telehealth indicator.

13.6% of these 66 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-04
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES MI 6401019111

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Jessica Gibbons , LMSW, CST

Social Worker - Clinical

NPI 1548754898

Licensed Master Social Worker, CST

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2026

Counselor (license number reported to NPPES: MI 6401019111)

πŸ“
Updated Practice Location July 23, 2024

Registered at 1200 N WEST AVE, JACKSON, MI 492022179 (Tel: 5177891209)

πŸ‘€
Provider Name / Credentials Updated July 23, 2024

Recorded as KATELYNN MILLER, MA, LPC, NCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2024

Counselor (license number reported to NPPES: MI 6401019111)

βœ…
NPI Profile Active January 08, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 08, 2018

Registered at 25 CARE DR, HILLSDALE, MI 492425054 (Tel: 5174392641)

πŸ“
Business Mailing Address (Initial Record) January 08, 2018

Registered at 2453 SHIRLEY DR, JACKSON, MI 492021523 (Tel: 5172150220)

πŸ‘€
Provider Name / Credentials (Initial Record) January 08, 2018

Recorded as KATELYNN MILLER, MA, LLPC, NCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2018

Counselor (license number reported to NPPES: MI 6401016317)

🟒
Initial NPI Registration & Enumeration January 08, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124535489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2018
Last Update: June 04, 2026
Sole Proprietor: Yes

Mailing Address

2453 Shirley Dr

Jackson, MI 492021523

Phone: 5172150220

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.