Active NPI
Amy Miller
- Marriage & Family Therapist
- Greenwood, IN
National Provider Identifier
1013394188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35001859A
- Practice address
- 1701 Library Blvd
Ste J
Greenwood, IN 46142-1567 - Phone
- (317) 987-6163
- Fax
- (888) 789-8394
- NPI assigned
- Apr 28, 2015
- Last updated
- Apr 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 35001859A | IN | Primary |
Addresses
Primary practice location
1701 Library Blvd
Ste J
Greenwood, IN 46142-1567
Mailing address
5010 N Stone Mill Rd
Ste B
Bloomington, IN 47408-9320
Phone (812) 929-2193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35001859A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Outlook Counseling Center Inc | Past | Accepting new patients | |
| New Outlook Counseling Center Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Bloomington, IN
- NPI 1033527619
-
- Community/Behavioral Health Agency
- Bloomington, IN
- NPI 1891099073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1013394188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 N STONE MILL RD",
"address_2": "STE B",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474089320",
"telephone_number": "812-929-2193",
"fax_number": "888-789-8394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 LIBRARY BLVD",
"address_2": "STE J",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421567",
"telephone_number": "317-987-6163",
"fax_number": "888-789-8394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-28",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001859A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.