Healthcare Provider Details

I. General information

NPI: 1508544800
Provider Name (Legal Business Name): KARI MILLER LCSW, LMHP, LCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18425 BOYD ST
ELKHORN NE
68022-5165
US

IV. Provider business mailing address

18425 BOYD ST
ELKHORN NE
68022-5165
US

V. Phone/Fax

Practice location:
  • Phone: 402-936-3619
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2239
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number110863
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5978
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: