Jose Fredericko Miller Jr., SUDRC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

24801 Issued in CA

Practice address

44 S Mentor Ave
Pasadena, CA 91106-2902

Phone

(626) 795-9127

NPI assigned

Apr 10, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Social Model Recovery Systems, Inc.

  • Community/Behavioral Health Agency
  • Pasadena, CA
  • NPI 1447388434
  NPD (past)

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1104769512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 S MENTOR AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062902",
            "telephone_number": "626-795-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S MENTOR AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062902",
            "telephone_number": "626-795-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOSE",
        "middle_name": "FREDERICKO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "SUDRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "24801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delany Miller, AMFT
• Emily Miller
• Everline Dionne Miller
• Isabelle Miller, AMFT
• Joel Edward Miller, M.D.
• Julie M Miller, O.T.
• Kallie Laurel Miller, OTR/L
• Kaylee Miller
• Lindsay Robyn Miller
• Mark Edmund Miller II, M.D.

• Addiction (Substance Use Disorder) Counselor in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.