Individual provider Active NPI

Sean Miller

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1427396167
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2629 Issued in NV
Practice address
4285 N Rancho Dr Ste 160
Las Vegas, NV 89130-3456
Phone
(702) 685-3459
NPI assigned
Jan 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2629 NV Primary

Addresses

Primary practice location

4285 N Rancho Dr Ste 160
Las Vegas, NV 89130-3456

Mailing address

4285 N Rancho Dr Ste 160
Las Vegas, NV 89130-3456
Phone (702) 685-3459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20240228004863 NV Practitioner - Marriage and Family Therapist 7113362252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Health Clinics LLCGroup PAC ID 6406143239, 6 clinicians

Practice addresses (Care Compare)

6767 W Tropicana Ave
Suite 100
Las Vegas, NV 89103-4755
Phone (702) 209-0370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2629NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Health Clinics LLC CurrentSince Mar 26, 2024 Accepting new patients
Clearwaters Family Guidance and Wellness Centers LLC Marriage & Family Therapist PastSince Apr 16, 2025 Accepting new patients
Clearwaters Family Guidance and Wellness Centers,LLC Past Accepting new patients

Locations

6767 W Tropicana Ave
Ste 100
Las Vegas, NV 89103
Phone (702) 209-0370

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1427396167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 N RANCHO DR STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303456",
            "telephone_number": "702-685-3459",
            "fax_number": "702-778-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4285 N RANCHO DR STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303456",
            "telephone_number": "702-685-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SEAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-30",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.