Individual provider Active NPI

Jennifer Farrah Miller, MS, LMFT, LMHC

  • Marriage & Family Therapist
  • Boynton Beach, FL
National Provider Identifier
1245585223
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2941 Issued in FL
Practice address
415 S Federal Hwy
Boynton Beach, FL 33435-4931
Phone
(954) 487-1224
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH12950 FL
Marriage & Family Therapist 106H00000X MT2941 FL Primary

Addresses

Primary practice location

415 S Federal Hwy
Boynton Beach, FL 33435-4931

Mailing address

790 Juno Ocean Walk Ste 404
Juno Beach, FL 33408-1123
Phone (561) 386-5499

Other practice location 1

790 Juno Ocean Walk Ste 404
Juno Beach, FL 33408
Phone (561) 386-5499

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

LicenseStateTypeSpecialty
MH12950FLMDMental Health Counselor
MT2941FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1245585223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 JUNO OCEAN WALK STE 404",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081123",
            "telephone_number": "561-386-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S FEDERAL HWY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354931",
            "telephone_number": "954-487-1224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Juno Ocean Walk Ste 404",
            "address_purpose": "LOCATION",
            "city": "Juno Beach",
            "state": "FL",
            "postal_code": "33408",
            "country_code": "US",
            "telephone_number": "561-386-5499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "FARRAH",
        "credential": "MS, LMFT, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12950",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.