Active NPI
Joanna Leslie Wirtz Miller
- Marriage & Family Therapist
- Chico, CA
National Provider Identifier
1134596505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC46237
- Practice address
- 330 Flume St
#100
Chico, CA 95928-5400 - Phone
- (530) 345-8337
- Fax
- (530) 809-2669
- NPI assigned
- Sep 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC46237 | CA | Primary |
Addresses
Primary practice location
330 Flume St
#100
Chico, CA 95928-5400
Mailing address
330 Flume St
#100
Chico, CA 95928-5400
Phone (530) 345-8337
Other names 1
- Joanne Leslie Wirtz Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 15, 2024 through Jun 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC46237 | CA | MD | Marriage & Family Therapist |
| 46237 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1134596505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 FLUME ST",
"address_2": "#100",
"city": "CHICO",
"state": "CA",
"postal_code": "959285400",
"telephone_number": "530-345-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 FLUME ST",
"address_2": "#100",
"city": "CHICO",
"state": "CA",
"postal_code": "959285400",
"telephone_number": "530-345-8337",
"fax_number": "530-809-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRTZ MILLER",
"first_name": "JOANNA",
"middle_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC46237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNE",
"last_name": "WIRTZ MILLER",
"middle_name": "LESLIE",
"credential": "MFT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.