Mark Matthew Miller

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0014527 Issued in CO

Practice address

9025 E Kenyon Ave
Denver, CO 80237-1804

Phone

(720) 266-0489

NPI assigned

Oct 1, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• At Your Convenience Mental Health and Relationship Counseling of Denve

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
  • NPI 1861999500
  NPD (past) Authorized official

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

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1346799327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 E KENYON AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371804",
            "telephone_number": "720-266-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 E KENYON AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371804",
            "telephone_number": "720-266-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARK",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-01",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014527",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Miller, CF-SLP
• Lucretia A Miller, MSW
• Luke Aaron Miller
• Lynn Ruth Miller, NNP-BC
• Mark A Miller
• Marshall Seth Miller, MD
• Mary Jane Miller, RN
• Megan Miller, L.AC, DIPL. AC
• Megan Elizabeth Miller, PSY.D.
• Melissa Lynn Miller, PHARM.D.

• Professional Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.