Mary L Miller, M.a., P.a.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH1556 Issued in FL

Legal business name

MARY L MILLER, M.A., P.A.

Practice address

1101 W Hibiscus Blvd
Suite 104
Melbourne, FL 32901-2718

Phone

(321) 723-0070

Fax

(321) 723-6150

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Barbara Young

Title

Office Manager

Phone

(321) 723-0070

Specialties & licenses 1

Addresses

Other names 1

• MARTY MILLER, M.A., P.A. Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Miller

  • Mental Health Counselor
  • Melbourne, FL
  • NPI 1326451576
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1275514945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329021176",
            "telephone_number": "321-723-0070",
            "fax_number": "321-723-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W HIBISCUS BLVD",
            "address_2": "SUITE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012718",
            "telephone_number": "321-723-0070",
            "fax_number": "321-723-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY L MILLER, M.A., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-723-0070"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH1556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTY MILLER, M.A., P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guiliana Marty
• Amber Martz, APRN
• Alan K Marumoto, MD
• Sherry Marvinny
• Mary E Digiorgio, Aprn-BC, MSN,PLC Incorporated Dba Nexxus Health Partners
• Mary L. Kalimnios, D.M.D.
• Maryam Brazdo, DMD, PA
• Peter M Marzano III, MD
• Rebecca Marzouca, O.D.
• Shannon D Marzouk, APRN

• Mental Health Counselor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.