Active NPI
Tiffany Marie Miller, REGISTERED NURSE
- Psychiatric/Mental Health Registered Nurse
- Hayward, WI
National Provider Identifier
1346040177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 1102327
- Practice address
- 10594 Main St
Hayward, WI 54843-6658 - Phone
- (715) 416-1381
- NPI assigned
- Mar 19, 2025
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 1102327 | WI | Primary |
Addresses
Primary practice location
10594 Main St
Hayward, WI 54843-6658
Mailing address
11964 N County Road T
Hayward, WI 54843-7338
Phone (651) 380-3081
Other practice location 1
10752 Beal Ave
Hayward, WI 54843-6435
Phone (715) 634-0222 ext. 202
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1102327 | WI | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Counseling, LLC | Current | Accepting new patients |
Locations
10594 Main St
North Woods Beach, WI 54843
Phone (715) 416-1381
Organizations & group practices 1
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.
-
- Professional Counselor
- Hayward, WI
- NPI 1225583883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1346040177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11964 N COUNTY ROAD T",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548437338",
"telephone_number": "651-380-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10594 MAIN ST",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548436658",
"telephone_number": "715-416-1381"
}
],
"practiceLocations": [
{
"address_1": "10752 Beal Ave",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "WI",
"postal_code": "548436435",
"country_code": "US",
"telephone_number": "715-634-0222 x202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "TIFFANY",
"middle_name": "MARIE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-19",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "WI",
"license": "1102327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, WI
- Medical Services, Inc (Tamarack Health Water's Edge)
- Medical Services, Inc (Tamarack Health Hayward Medical Center)
- Medical Services, Inc. (Tamarack Health Hayward Medical Center)
- Daniel Meier, D.C.
- Renee Lorraine Midthun, OTR
- Renee M. Millwood, LCSW
- Minneapolis Vamc
- Imtiaz Mohamed, MD
- Rachel Montague, PA-C
- William Morrow
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.