Jennifer R Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1620 Issued in CO

Practice address

12230 Washington Center Pkwy Apt 380
Thornton, CO 80241-3681

Phone

(516) 380-9122

NPI assigned

Jul 18, 2024

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful Therapy Group of Colorado, PCGroup PAC ID 3870036478, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mindful Therapy Group of Colorado, PC

  • Clinical Social Worker
  • Greenwood Village, CO
  • NPI 1972389963
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1386482818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12230 WASHINGTON CENTER PKWY APT 380",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413681",
            "telephone_number": "516-380-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 WASHINGTON CENTER PKWY APT 380",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413681",
            "telephone_number": "516-380-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mile High Seniors Inc.
• Alyssa Miles
• Amanda Miller
• Jaclyn Erica Miller, M.A.
• Jennie Lynn Miller, PA-C
• Joi Miller
• Kasey Miller, CAC I
• Michelle Miller, LMFT
• Nicole Miller
• Rachel Ellen Miller, L.C.S.W.

• Clinical Social Worker in Thornton, CO
• Providers in Thornton, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.