Individual provider Active NPI

Krista Judith Miller, M.S., LMFT, LCDC

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1154531077
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202114 Issued in TX
Practice address
16607 Blanco Rd
Suite #701
San Antonio, TX 78232-1913
Phone
(702) 375-6590
Fax
(210) 547-2828
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 202114 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12570 TX

Addresses

Primary practice location

16607 Blanco Rd
Suite #701
San Antonio, TX 78232-1913

Mailing address

18827 Salado Cyn
San Antonio, TX 78258-1633
Phone (702) 375-6590

Other names 1

  • Ms. Krista Miller Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12570TXMDAddiction (Substance Use Disorder) Counselor
202114TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Align Couples Therapy LLC Marriage & Family Therapist PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1154531077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18827 SALADO CYN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782581633",
            "telephone_number": "702-375-6590",
            "fax_number": "210-547-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD",
            "address_2": "SUITE #701",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321913",
            "telephone_number": "702-375-6590",
            "fax_number": "210-547-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTA",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "M.S., LMFT, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202114",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "MILLER",
            "prefix": "MS.",
            "credential": "M.S., LMFT, LCDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.