Active NPI
Corwin C. Von Miller IV, LMFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1285645119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC47325
- Practice address
- 2040 Ethan Way RM 13
Sacramento, CA 95825-0118 - Phone
- (916) 566-2027
- Fax
- (916) 566-2003
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC47325 | CA | Primary |
Addresses
Primary practice location
2040 Ethan Way RM 13
Sacramento, CA 95825-0118
Mailing address
3331 Power Inn Rd Ste 180
Sacramento, CA 95826-3889
Phone (916) 875-3371
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC47325 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1285645119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3331 POWER INN RD STE 180",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958263889",
"telephone_number": "916-875-3371",
"fax_number": "916-875-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 ETHAN WAY RM 13",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958250118",
"telephone_number": "916-566-2027",
"fax_number": "916-566-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON MILLER",
"first_name": "CORWIN",
"middle_name": "C.",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC47325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
- Volunteers of America
- Volunteers of America
- Volunteers of America Greater Sacramento & Northern Nevada Inc.
- Volunteers of America, Greater Sacramento & Nothern Nevada
- Mary Cathleen Von Burg, NP
- Matt Dennis Von Savoye
- Von Vega LLC Dba Norris Senior Home
- Brooke A Vonada, PHARMD
- Chang Say Vong, DMD
- Hong Say Vong
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.