Individual provider Active NPI

Ronald Lee Miller, D.MIN

  • Marriage & Family Therapist
  • Erie, PA
National Provider Identifier
1295832095
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
7960 Issued in SC
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

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104002389 SC Practitioner - Marriage and Family Therapist 1052762945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7960SCMDProfessional Counselor
MF000217PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossbridge Counseling LLC Marriage & Family Therapist CurrentSince Dec 19, 2023 Accepting new patients
Crossbridge Counseling LLC Marriage & Family Therapist CurrentSince Sep 5, 2023 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.

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

Verify at the official NPI Registry.