Active NPI
Jennifer B. Miller, MA, LPC
- Mental Health Counselor
- Wyomissing, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC014513
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC014513 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Guidance Center | Current | 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.
-
- Community/Behavioral Health Agency
- Wyomissing, PA
- NPI 1932268356
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.