Active NPI
Ryan Lee McMiller, MFTI
- Marriage & Family Therapist
- Bellingham, WA
National Provider Identifier
1083059596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4893
- Practice address
- 609 Northshore Dr
Bellingham, WA 98226-4414 - Phone
- (208) 946-0910
- NPI assigned
- May 10, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4893 | ID | Primary |
| Mental Health Counselor | 101YM0800X | CAAR.CG.60748346 | WA |
Addresses
Primary practice location
609 Northshore Dr
Bellingham, WA 98226-4414
Mailing address
609 Northshore Dr
Bellingham, WA 98226-4414
Phone (208) 946-0910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAAR.CG.60748346 | WA | MD | Mental Health Counselor |
| 4893 | ID | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1083059596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 NORTHSHORE DR",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982264414",
"telephone_number": "208-946-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 NORTHSHORE DR",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982264414",
"telephone_number": "208-946-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLER",
"first_name": "RYAN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "MFTI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-10",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "4893",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CAAR.CG.60748346",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.