Active NPI
Dinah Jo Miller
- Mental Health Counselor
- Melbourne, FL
National Provider Identifier
1306362264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1071 Port Malabar Blvd., NE
11 E
Melbourne, FL 32905-5161 - Phone
- (407) 720-8887
- NPI assigned
- Aug 22, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1071 Port Malabar Blvd., NE
11 E
Melbourne, FL 32905-5161
Mailing address
3535 Alan Dr
Titusville, FL 32780-5211
Phone (321) 543-2548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201447261 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503360000000",
"number": "1306362264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 ALAN DR",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327805211",
"telephone_number": "321-543-2548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 PORT MALABAR BLVD., NE",
"address_2": "11 E",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329055161",
"telephone_number": "407-720-8887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DINAH",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-22",
"last_updated": "2017-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201447261",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.