Individual provider Active NPI

Zachery Daniel Miller

  • Mental Health Counselor
  • Springdale, AR
National Provider Identifier
1376439109
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A2506015 Issued in AR
Practice address
5100 S Thompson St
Springdale, AR 72764-6933
Phone
(479) 757-0750
NPI assigned
Jun 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A2506015 AR Primary

Addresses

Primary practice location

5100 S Thompson St
Springdale, AR 72764-6933

Mailing address

19136 Strawberry Plant Rd
Fayetteville, AR 72704-8589
Phone (618) 927-3791

Other practice location 1

3061 Wagon Wheel Rd
Springdale, AR 72762-0114
Phone (479) 316-0145

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

LicenseStateTypeSpecialty
A2506015ARMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1376439109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19136 STRAWBERRY PLANT RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727048589",
            "telephone_number": "618-927-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S THOMPSON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646933",
            "telephone_number": "479-757-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3061 Wagon Wheel Rd",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727620114",
            "country_code": "US",
            "telephone_number": "479-316-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ZACHERY",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2506015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.