Individual provider Active NPI

Ashley Sade Miller, PLMFT

  • Marriage & Family Therapist
  • Baton Rouge, LA
National Provider Identifier
1174347918
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
PLM1569 Issued in LA
Practice address
2924 Brakley Dr Ste B6
Baton Rouge, LA 70816-2333
Phone
(225) 605-3065
NPI assigned
Nov 8, 2024
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X PLM1569 LA Primary

Addresses

Primary practice location

2924 Brakley Dr Ste B6
Baton Rouge, LA 70816-2333

Mailing address

16642 Highland Club Ave
Baton Rouge, LA 70817-7021

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
PLM1569LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Therapy Group, LLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

2924 Brakley Dr
Ste B6
Baton Rouge, LA 70816
Phone (225) 605-3065

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

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1174347918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16642 HIGHLAND CLUB AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708177021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 BRAKLEY DR STE B6",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162333",
            "telephone_number": "225-605-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ASHLEY",
        "middle_name": "SADE",
        "credential": "PLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "PLM1569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.