Active NPI
Kathryn Marie Miller, LMFT
- Marriage & Family Therapist
- Colton, CA
National Provider Identifier
1417180589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 85913
- Practice address
- 1461 E Cooley Dr Ste 100
Colton, CA 92324-3921 - Phone
- (909) 855-9371
- Fax
- (909) 792-1057
- NPI assigned
- Aug 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 85913 | CA | Primary |
Addresses
Primary practice location
1461 E Cooley Dr Ste 100
Colton, CA 92324-3921
Mailing address
27261 Las Ramblas Ste 220
Mission Viejo, CA 92691-6468
Phone (909) 792-0747
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Children'S Society, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Rancho Cucamonga, CA
- NPI 1962848127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1417180589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27261 LAS RAMBLAS STE 220",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916468",
"telephone_number": "909-792-0747",
"fax_number": "909-835-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1461 E COOLEY DR STE 100",
"city": "COLTON",
"state": "CA",
"postal_code": "923243921",
"telephone_number": "909-855-9371",
"fax_number": "909-792-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KATHRYN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-24",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "85913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.