Individual provider Active NPI

Stephanie Brooke Miller, PH.D., LPC

  • Forensic Psychologist
  • Dallas, TX
National Provider Identifier
1114402831
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
41017 Issued in TX
Practice address
4099 McEwen Rd Ste 574
Dallas, TX 75244-5367
Phone
(432) 355-8350
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 75348 TX
Professional Counselor 101YP2500X LPC-18358 AZ
Forensic Psychologist 103TF0200X 41017 TX Primary

Addresses

Primary practice location

4099 McEwen Rd Ste 574
Dallas, TX 75244-5367

Mailing address

4099 McEwen Rd Ste 574
Dallas, TX 75244-5367
Phone (432) 355-8350

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC-18358AZMDProfessional Counselor
75348TXMDProfessional Counselor
41017TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Element Counseling Current Accepting new patients
Sage Counseling, Inc. CurrentSince Dec 6, 2020 Accepting new patients

Locations

1830 S Alma School Rd
Ste 101
Mesa, AZ 85210
Phone (480) 505-2020

4435 S Rural Rd
Ste 5
Tempe, AZ 85282

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1114402831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4099 MCEWEN RD STE 574",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445367",
            "telephone_number": "432-355-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 MCEWEN RD STE 574",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445367",
            "telephone_number": "432-355-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHANIE",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75348",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18358",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "TX",
            "license": "41017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.