Shelby Miller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

118 1/2 N Woodland Blvd
Deland, FL 32720-4268

Phone

(386) 968-2063

NPI assigned

Jun 24, 2020

Last updated

Jun 24, 2020By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1295351369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W CHURCH ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 1/2 N WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204268",
            "telephone_number": "386-968-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Elizabeth Miller, LMT
• Kanisha L. Miller, APRN
• Kristi Michelle Gittner Miller, MA
• Michelle Diane Miller
• Noraland Miller, C.N.A
• Andrew David Mills, D.P.T
• Mind Sanctuary Recovery & Psychiatry
• Angela Minett, BCABA
• Michelle Miranda
• Marjan Mirkheshti, DMD

• Mental Health Counselor in Deland, FL
• Providers in Deland, 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 24, 2020; 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.