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

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1700237-SUPV Issued in OH

Practice address

3401 Glendale Ave Ste 200
Toledo, OH 43614-2490

Phone

(567) 742-7117

Fax

(567) 200-8410

NPI assigned

Aug 6, 2015

Last updated

Apr 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeremy K Miller Consulting LLCGroup PAC ID 3072049956, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jeremy K Miller Consulting, LLC

  dba Jeremy K Miller Therapy

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1053147470

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1053797613",
    "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": "567-218-1980"
        },
        {
            "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": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEREMY",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "MSW, LISW-S,LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-06",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161437",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700237-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231357",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Miller, LMT
• Isabella Miller
• Jacob Daniel Miller, M.D.
• Jeffrey Miller
• Jenessa Miller
• Joan Miller, RN
• Joshua Miller
• Julie Therese Miller, D.O.
• Justice Nalani Miller
• Karen Sue Miller, LSW MED

• 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 Apr 29, 2026; 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.

Verify at the official NPI Registry.