Monica A Miller, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC-IMH 6204 Issued in FL

Practice address

3505 Depew Circle
Life Transitions, Inc.
Port Charlotte, FL 33952

Phone

(941) 627-2100

Fax

(941) 627-6442

NPI assigned

Oct 13, 2011

Last updated

Oct 13, 2011By 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

Other names 1

• Monica Ann De Maio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Life Transitions Inc

  • Psychiatry Physician
  • Port Charlotte, FL
  • NPI 1992809289
  NPD (past)

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1336424043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 DEPEW CIRCLE",
            "address_2": "LIFE TRANSITIONS, INC.",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "941-627-2100",
            "fax_number": "941-627-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 DEPEW CIRCLE",
            "address_2": "LIFE TRANSITIONS, INC.",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "941-627-2100",
            "fax_number": "941-627-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MONICA",
        "middle_name": "A",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MHC-IMH 6204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "DE MAIO",
            "middle_name": "ANN",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Millennium Physician Group, LLC
• Jolyn Miller, PTA
• Kenneth Miller, PAC
• Patrick Miller
• Mercaide Millett-Polston
• Teresa Marie Minucci
• Miracle Vision Inc. (Eyeglass Maxx)
• Rashid Mirza, MD

• Mental Health Counselor in Port Charlotte, FL
• Providers in Port Charlotte, 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 Oct 13, 2011; 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.