Zachary J Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149023228 Issued in IL

Practice address

1786 Moon Lake Blvd Ste 104
Hoffman Estates, IL 60169-1016

Phone

(847) 755-8090

NPI assigned

Jun 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unify Counseling IncGroup PAC ID 2264831312, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Unify Counseling Inc

  • Clinic/Center
  • Northfield, IL
  • NPI 1942899646

  Clinical

  Medicare reassignment Care Compare group NPD
• DPT Holdings, LLC

  dba Doctors of Physical Therapy

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1194391631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CLEVELAND AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD STE 104",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691016",
            "telephone_number": "847-755-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ZACHARY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATIONS (IDFPR)",
            "identifier": "149023228",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Millare, MD
• Christina Miller, MS, LMFT
• Mark Miller, MD
• Mary Isabel Miller
• Taylor Miller, APN-CNM
• Mind Connect Behavioral Health P.C.
• Mind Matters Psychological Services
• Mindful Medispa and Mediclinic PLLC
• Preeti Mirchandani, D.O.
• Marielle Mitchell, NP-C

• Clinical Social Worker in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.