Individual provider Active NPI

Michelle Lindsey Miller

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1275908618
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4512 Issued in NV
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

Updated by the provider on Mar 28, 2023

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016003488 NV Practitioner - Marriage and Family Therapist 1052808565 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
4512NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivating Connections Therapy Marriage & Family Therapist Current Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Mental Health CurrentSince Jun 16, 2025 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation CurrentSince Jun 16, 2025 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.

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

Verify at the official NPI Registry.