Jeremy K Miller Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JEREMY K MILLER CONSULTING, LLC

Doing business as

Jeremy K Miller Therapy

Practice address

3401 Glendale Ave Ste 200
Toledo, OH 43614-2490

Phone

(567) 742-7117

Fax

(567) 200-8410

NPI assigned

Sep 11, 2024

Last updated

Mar 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Keith Miller, LISW-S, LICDC-CSNPI 1053797613

Title

Owner

Phone

(567) 742-7117

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Jeremy K Miller Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Keith Miller, MSW, LISW-S,LICDC-CS

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1053797613

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• Latrice Waddell, CNS-PMH

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Toledo, OH
  • NPI 1316375124
  Medicare reassignment Care Compare group NPD
• Paul Ramond Lee

  • Addiction (Substance Use Disorder) Counselor
  • Toledo, OH
  • NPI 1144737057
  NPD (past)

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1053147470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 GLENDALE AVE STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142490",
            "telephone_number": "567-742-7117",
            "fax_number": "567-200-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 GLENDALE AVE STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142490",
            "telephone_number": "567-742-7117",
            "fax_number": "567-200-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Dulton Dr",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436155109",
            "country_code": "US",
            "telephone_number": "567-742-7117",
            "fax_number": "567-200-8410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEREMY K MILLER CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "567-742-7117",
        "authorized_official_credential": "LISW-S, LICDC-CS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeremy K Miller Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jeremy K Miller Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martina Jennings, QMHS
• Timothy Jennings
• Taylor Renae Jensen
• Yong Woo Jeon, DDS
• Da Hae Jeong, PHARMD
• Sarah Jerge, PA-C
• Christian John Jeric
• Marlies Jocelyn Jeric, PHARMD
• Jacqueline Jerome-Richardson
• Jerusalem Healthcare Services LLC

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.