Active NPI
Marcia Elizabeth Miller, LPCC
- Professional Counselor
- Concord, CA
National Provider Identifier
1407002959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17020
- Practice address
- 3375 Port Chicago Hwy
Ste 15 Unit 539
Concord, CA 94520 - Phone
- (925) 421-0423
- NPI assigned
- Aug 15, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 17020 | CA | Primary |
Addresses
Primary practice location
3375 Port Chicago Hwy
Ste 15 Unit 539
Concord, CA 94520
Mailing address
3375 Port Chicago Hwy
Ste 15 Unit 539
Concord, CA 94520
Phone (925) 421-0423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260617004088 | CA | Practitioner - Mental Health Counselor | 1254803547 | Practice locations: Pleasant Hill, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Pleasant Hill, CA 94523
Phone (925) 421-0423
785 Oak Grove Rd
Suite E2
Concord, CA 94518-3668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728172800000",
"number": "1407002959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 PORT CHICAGO HWY",
"address_2": "STE 15 UNIT 539",
"city": "CONCORD",
"state": "CA",
"postal_code": "94520",
"telephone_number": "925-421-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 PORT CHICAGO HWY",
"address_2": "STE 15 UNIT 539",
"city": "CONCORD",
"state": "CA",
"postal_code": "94520",
"telephone_number": "925-421-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MARCIA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2024-10-06",
"certification_date": "2024-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "17020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.