Active NPI
Jennifer Robers Miller, MS
- Professional Counselor
- Janesville, WI
National Provider Identifier
1225201320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3993-125
- Practice address
- 2640 Milton Ave
Janesville, WI 53545-0231 - Phone
- (608) 755-1475
- Fax
- (608) 755-1733
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 3993-125 | WI | Primary |
Addresses
Primary practice location
2640 Milton Ave
Janesville, WI 53545-0231
Mailing address
2640 Milton Ave
Janesville, WI 53545-0231
Phone (608) 755-1475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4373660 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3993-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janesville Psychiatric Clinic Daytreatment for Children | Past | Accepting new patients | |
| Janesville Psychiatric Clinic Main Inc | Past | Accepting new patients |
Interoperability endpoints
- lifestancehealth.jenniferrobersmiller@149809.advancedmd-direct.com
Organizations & group practices 2
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.
-
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- Janesville, WI
- NPI 1578737706
-
- Mental Health Counselor
- Janesville, WI
- NPI 1659447704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1225201320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 MILTON AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535450231",
"telephone_number": "608-755-1475",
"fax_number": "608-755-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 MILTON AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535450231",
"telephone_number": "608-755-1475",
"fax_number": "608-755-1733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERS MILLER",
"first_name": "JENNIFER",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3993-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4373660",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.