Individual provider Active NPI

David Miller, LMFT

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1033506506
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1142124 Issued in WI
Practice address
313 Price PL Ste 111
Madison, WI 53705-3262
Phone
(608) 333-2369
Fax
(608) 440-2846
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1142124 WI Primary

Addresses

Primary practice location

313 Price PL Ste 111
Madison, WI 53705-3262

Mailing address

313 Price PL Ste 111
Madison, WI 53705-3262
Phone (608) 333-2369

Other practice location 1

313 Falles Ct
Madison, WI 53705-5012
Phone (608) 333-2369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307000986 WI Practitioner - Marriage and Family Therapist 3678919131 Practice locations: Madison, WI

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

313 Price PL
Suite 104
Madison, WI 53705-3262
Phone (608) 333-2369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1142124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orchestra X Inc. Current Accepting new patients
Orchestra Inc. Past Accepting new patients

Locations

313 Price Pl
Ste 104
Madison, WI 53705
Phone (608) 333-2369

313 Price Pl
Ste 111
Madison, WI 53705
Phone (414) 324-8879

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1033506506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PRICE PL STE 111",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053262",
            "telephone_number": "608-333-2369",
            "fax_number": "608-440-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PRICE PL STE 111",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053262",
            "telephone_number": "608-333-2369",
            "fax_number": "608-440-2846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Falles Ct",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537055012",
            "country_code": "US",
            "telephone_number": "608-333-2369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1142124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.