Individual provider Active NPI

Rachel Dyann Miller, LMFT

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1437731965
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166001449 Issued in IL
Practice address
1165 N Clark St Ste 411
Chicago, IL 60610-7473
Phone
(312) 626-4945
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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 166001449 IL Primary

Addresses

Primary practice location

1165 N Clark St Ste 411
Chicago, IL 60610-7473

Mailing address

747 N Wabash Ave Apt 703
Chicago, IL 60611-2530
Phone (219) 775-0678

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
166001449ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hold the Vision Therapy Marriage & Family Therapist CurrentSince Jul 4, 2021 Accepting new patients

Locations

1 E Erie St
Ste 5254038
Chicago, IL 60611
Phone (312) 626-4945

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.

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1437731965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 N WABASH AVE APT 703",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112530",
            "telephone_number": "219-775-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N CLARK ST STE 411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107473",
            "telephone_number": "312-626-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RACHEL",
        "middle_name": "DYANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.