Individual provider Active NPI

Bridgette C Miller, LCMFT, LBSW, CFRC

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1154876159
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2961 Issued in KS
Practice address
250 N Rock Rd Ste 130
Wichita, KS 67206-2261
Phone
(785) 787-2088
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7447 KS
Marriage & Family Therapist 106H00000X 2961 KS Primary

Addresses

Primary practice location

250 N Rock Rd Ste 130
Wichita, KS 67206-2261

Mailing address

250 N Rock Rd Ste 130
Wichita, KS 67206-2261

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

State licenses

LicenseStateTypeSpecialty
7447KSMDSocial Worker
2961KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully Re-Align LLC Marriage & Family Therapist Current Accepting new patients
New Perspectives Past Accepting new patients
New Perspectives LLC Marriage & Family Therapist PastSince Aug 15, 2015 Accepting new patients

Locations

250 N Rock Rd
Ste 130
Wichita, KS 67206
Phone (316) 530-2813

Organizations & group practices 3

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1154876159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062261",
            "telephone_number": "785-787-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRIDGETTE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCMFT, LBSW, CFRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7447",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; 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.