Brandon Scott Miller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

L11633 Issued in OR

Practice address

213 Broadmore St
Enterprise, OR 97828-1216

Phone

(541) 398-8188

NPI assigned

Oct 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winding Waters Medical ClinicGroup PAC ID 8224346713, shared by 4 NPIs, 16 clinicians

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 and National Provider Directory roles.

• MB Counseling LLC

  • Clinical Social Worker
  • La Grande, OR
  • NPI 1457031452
  NPD (past)

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1144796178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978280268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 BROADMORE ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281216",
            "telephone_number": "541-398-8188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Highway 82",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "OR",
            "postal_code": "978286011",
            "country_code": "US",
            "telephone_number": "541-426-4524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "22-06-10445",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L11633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael McDonald, DNP, FNP-BC, BSN, RN
• Michelle Jewel McMillan
• Daniel McRee
• David Mejia
• Jennifer Messick
• Taylor Barbara Miller, LPC
• Noah Miska
• Andrea Rene Mitchell
• Randi Movich, RN
• Sean Brian Murray

• Mental Health Counselor in Enterprise, OR
• Providers in Enterprise, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.