Active NPI
Marvin Steven Miller, LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1164736690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2008008117
- Practice address
- 2870 Netherton Dr
Saint Louis, MO 63136-4649 - Phone
- (314) 382-9318
- Fax
- (314) 338-6860
- NPI assigned
- Jul 26, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2008008117 | MO | Primary |
Addresses
Primary practice location
2870 Netherton Dr
Saint Louis, MO 63136-4649
Mailing address
2870 Netherton Dr
Saint Louis, MO 63136-4649
Phone (314) 382-9318
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2008008117 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1164736690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2870 NETHERTON DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631364649",
"telephone_number": "314-382-9318",
"fax_number": "314-338-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2870 NETHERTON DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631364649",
"telephone_number": "314-382-9318",
"fax_number": "314-338-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MARVIN",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-26",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2008008117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.