Individual provider Active NPI

Barbara Elaine Miller, ED.D., LCSW

  • Mental Health Counselor
  • San Marcos, CA
National Provider Identifier
1205180478
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS 18974 Issued in CA
Practice address
100 E San Marcos Blvd Ste 422
San Marcos, CA 92069-2986
Phone
(760) 510-5943
Fax
(760) 741-1506
NPI assigned
Nov 9, 2012
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS18974 CA
Mental Health Counselor 101YM0800X LCS 18974 CA Primary

Addresses

Primary practice location

100 E San Marcos Blvd Ste 422
San Marcos, CA 92069-2986

Mailing address

PO Box 66
Escondido, CA 92033-0066
Phone (408) 824-0014

Other practice location 1

1475 S. Bascom Ave.,
Suite 113
Campbell, CA 95008-9500
Phone (408) 824-0014

Other practice location 2

901 Campisi Way Ste 320
Campbell, CA 95008-2376
Phone (408) 824-0014

Other names 1

  • Mrs. Barbara Elaine Doleman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 18974CAMDMental Health Counselor
LCS18974CAMDClinical Social Worker
18974CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1205180478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920330066",
            "telephone_number": "408-824-0014",
            "fax_number": "760-741-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SAN MARCOS BLVD STE 422",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692986",
            "telephone_number": "760-510-5943",
            "fax_number": "760-741-1506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 S. Bascom Ave.,",
            "address_2": "Suite 113",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950089500",
            "country_code": "US",
            "telephone_number": "408-824-0014",
            "fax_number": "408-227-6494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Campisi Way Ste 320",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950082376",
            "country_code": "US",
            "telephone_number": "408-824-0014",
            "fax_number": "408-227-6494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BARBARA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "ED.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18974",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS 18974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "DOLEMAN",
            "middle_name": "ELAINE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.