Justine Anna Miller, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3355 Issued in MN

Practice address

223 1St St E
Jordan, MN 55352-1561

Phone

(952) 292-7050

NPI assigned

Apr 24, 2017

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faithworks Counseling, LLC

  dba Anchor Counseling

  • Marriage & Family Therapist
  • Jordan, MN
  • NPI 1235377656
  Medicare reassignment NPD
• Cornerstone Counseling Center LLC

  • Marriage & Family Therapist
  • Jordan, MN
  • NPI 1164967980
  Authorized official Same address or phone

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1295260685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 1ST ST E",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521561",
            "telephone_number": "952-292-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 1ST ST E",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521561",
            "telephone_number": "952-292-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10505 Wayzata Blvd Ste 203-5",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051502",
            "country_code": "US",
            "telephone_number": "952-451-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JUSTINE",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret M Knutson, ATC
• Rebecca Rae Kragh, M.D.
• Karen Dru Lloyd, PHD
• Jeff C May, D.C.
• Katie May McFadden, COTA/L
• Minnesota River Valley Special Education Cooperative
• Mohamed Awale Mohamed
• Fredrick K Mokaya
• Oak Terrace Senior Housing of Jordan
• Diana Olsen, LAMFT

• Marriage & Family Therapist in Jordan, MN
• Providers in Jordan, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.