Active NPI
Ronald Lee Miller, D.MIN
- Marriage & Family Therapist
- Erie, PA
National Provider Identifier
1295832095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 7960
- Practice address
- 2820 W 21St St
Erie, PA 16506-2983 - Phone
- (814) 882-5400
- NPI assigned
- Sep 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000217 | PA | |
| Marriage & Family Therapist | 106H00000X | 7960 | SC | Primary |
Addresses
Primary practice location
2820 W 21St St
Erie, PA 16506-2983
Mailing address
5450 Woodlawn Dr
Edinboro, PA 16412-1226
Phone (814) 734-4647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240104002389 | SC | Practitioner - Marriage and Family Therapist | 1052762945 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7960 | SC | MD | Professional Counselor |
| MF000217 | PA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossbridge Counseling LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Crossbridge Counseling LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
1040 Edgewater Corporate Pkwy
Ste 101
Indian Land, SC 29707
Phone (803) 548-7007
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Indian Land, SC
- NPI 1730957119
-
- Marriage & Family Therapist
- Indian Land, SC
- NPI 1366226987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1295832095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 WOODLAWN DR",
"city": "EDINBORO",
"state": "PA",
"postal_code": "164121226",
"telephone_number": "814-734-4647",
"fax_number": "814-734-4647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W 21ST ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165062983",
"telephone_number": "814-882-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RONALD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.MIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000217",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "7960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.