Active NPI
Michelle Lindsey Miller
- Marriage & Family Therapist
- Reno, NV
National Provider Identifier
1275908618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4512
- Practice address
- 1101 W Moana LN
Suite 2,
Reno, NV 89509-4775 - Phone
- (775) 337-2394
- NPI assigned
- Dec 10, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 4512 | NV | Primary |
Addresses
Primary practice location
1101 W Moana LN
Suite 2,
Reno, NV 89509-4775
Mailing address
4908 Bougainvillea Dr
Sparks, NV 89436-7303
Phone (702) 580-4004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1107 US Hwy 395 N
Gardnerville, NV 89410-5304
897 Ironwood Dr
Minden, NV 89423-5198
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4512 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cultivating Connections Therapy | Marriage & Family Therapist | Current | Accepting new patients |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Mental Health | Current | Accepting new patients |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Current | Accepting new patients | |
| Grounded Roots Therapy | Past | Accepting new patients | |
| Carson Valley Medical Center Rural Health Clinic | Past | Accepting new patients |
Locations
1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
-
- Marriage & Family Therapist
- Reno, NV
- NPI 1013876671
-
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
Mental Health
-
- Internal Medicine Physician
- Gardnerville, NV
- NPI 1174708879
-
- Clinical Social Worker
- Carson City, NV
- NPI 1285301978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1275908618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4908 BOUGAINVILLEA DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894367303",
"telephone_number": "702-580-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W MOANA LN",
"address_2": "SUITE 2,",
"city": "RENO",
"state": "NV",
"postal_code": "895094775",
"telephone_number": "775-337-2394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHELLE",
"middle_name": "LINDSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2023-03-28",
"certification_date": "2023-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "4512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.