Jason Thomas Miller, MSW, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4001 Issued in KS

Practice address

1915 S Ralston Ave
Independence, MO 64052-2023

Phone

(913) 636-8566

Fax

(888) 515-3097

NPI assigned

Dec 4, 2006

Last updated

Feb 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Lisa Ann Miller Former name

Medicare fee-for-service enrollment

Enrolled in MO

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radiance Health & Wellness Clinic Mo-KS

  dba Radiance Health & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Raytown, MO
  • NPI 1407633902
  NPD (past)
• Tapan K. Chaudhri, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Raytown, MO
  • NPI 1447476957
  NPD (past)
• Family Life Concepts, Inc.

  • Community/Behavioral Health Agency
  • Leawood, KS
  • NPI 1417258039
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1144398322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 COLLEGE BOULEVARD",
            "address_2": "SUITE 106",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111617",
            "telephone_number": "913-636-8566",
            "fax_number": "888-515-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 S RALSTON AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640522023",
            "telephone_number": "913-636-8566",
            "fax_number": "888-515-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "4001",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "002081",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "002081",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144398322",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSCSW",
            "identifier": "4001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MILLER",
            "middle_name": "ANN",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony G Migliazzo, MD
• Alyssa Miley
• Angelina Lynn Miller
• Chase Miller, DPT
• Dan P Miller, DDS
• Karen Miller, LCSW
• Kasidee Lynn Miller
• Kay M Miller, LPN, IBCLC
• Morgan J Miller, MS, ATC, LAT
• Nicholas Mershon Miller

• Mental Health Counselor in Independence, MO
• Providers in Independence, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.