Active NPI
Nancy Miller, PHD
- Professional Counselor
- San Pedro, CA
National Provider Identifier
1346372281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1450 W 7TH St
San Pedro, CA 90732-3516 - Phone
- (310) 832-3140
- NPI assigned
- Mar 9, 2007
- Last updated
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Pastoral Counselor | 101YP1600X | CA | ||
| Professional Counselor | 101YP2500X | CA | Primary | |
| Counseling Psychologist | 103TC1900X | CA |
Addresses
Primary practice location
1450 W 7TH St
San Pedro, CA 90732-3516
Mailing address
1450 W 7TH St
San Pedro, CA 90732-3516
Phone (310) 832-3140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346372281 | Other | CA | BLUE SHIELD, |
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
- Credentials
- Doctor of Philosophy
Practice roles
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Point of Service
- San Pedro, CA
- NPI 1396011417
-
- Pastoral Counselor
- San Pedro, CA
- NPI 1508168741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1346372281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 W 7TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907323516",
"telephone_number": "310-832-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 W 7TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907323516",
"telephone_number": "310-832-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD,",
"identifier": "1346372281",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.