Individual provider Active NPI

Jennifer B. Miller, MA, LPC

  • Mental Health Counselor
  • Wyomissing, PA
National Provider Identifier
1033856208
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC014513 Issued in PA
Practice address
1235 Penn Ave Ste 205-206
Wyomissing, PA 19610-2100
Phone
(610) 374-4963
Fax
(610) 378-5403
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC014513 PA Primary

Addresses

Primary practice location

1235 Penn Ave Ste 205-206
Wyomissing, PA 19610-2100

Mailing address

1235 Penn Ave Ste 205-206
Wyomissing, PA 19610-2100
Phone (610) 374-4963

Other practice location 1

3570 Old Route 22
Hamburg, PA 19526-8373
Phone (610) 374-4963

Other practice location 2

658 Noble St Ste D
Kutztown, PA 19530-9501
Phone (610) 374-4963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240201001026 PA Practitioner - Mental Health Counselor 2264885607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Guidance CenterGroup PAC ID 1850291303, 22 clinicians

Practice addresses (Care Compare)

1105 Berkshire Blvd
Ofc 110
Wyomissing, PA 19610-1249
Phone (610) 374-4963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC014513PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Guidance Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

3570 Old Route 22
Hamburg, PA 19526
Phone (610) 374-4963

658 Noble St
Ste D
Kutztown, PA 19530
Phone (610) 374-4963

1105 Berkshire Blvd
Ofc 110
Wyomissing, PA 19610
Phone (610) 374-4963

1235 Penn Ave
Ste 205206
Wyomissing, PA 19610
Phone 6103744963 ext. 3466

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1033856208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 PENN AVE STE 205-206",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102100",
            "telephone_number": "610-374-4963",
            "fax_number": "610-378-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PENN AVE STE 205-206",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102100",
            "telephone_number": "610-374-4963",
            "fax_number": "610-378-5403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3570 Old Route 22",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "PA",
            "postal_code": "195268373",
            "country_code": "US",
            "telephone_number": "610-374-4963",
            "fax_number": "610-378-5403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "658 Noble St Ste D",
            "address_purpose": "LOCATION",
            "city": "Kutztown",
            "state": "PA",
            "postal_code": "195309501",
            "country_code": "US",
            "telephone_number": "610-374-4963",
            "fax_number": "610-378-5403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "B.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.