Individual provider Active NPI

Ashley Elizabeth Miller, M.S.B.S.

  • Marriage & Family Therapist
  • Moore, OK
National Provider Identifier
1447630215
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
715 SE 12TH St Unit 4
Moore, OK 73160-7309
Phone
(580) 695-9700
Fax
(405) 888-8959
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 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 OK Primary

Addresses

Primary practice location

715 SE 12TH St Unit 4
Moore, OK 73160-7309

Mailing address

715 SE 12TH St Unit 4
Moore, OK 73160-7309
Phone (580) 695-9700

Other identifiers 1

IdentifierTypeStateIssuer
731545165MedicaidOK

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

OrganizationSpecialtyStatusNew patients
Okiestrong Behavioral Health & Counseling, LLC Marriage & Family Therapist CurrentSince Mar 16, 2021 Accepting new patients

Locations

715 SE 12th St
Unit 4
Moore, OK 73160
Phone (580) 695-9700

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1447630215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SE 12TH ST UNIT 4",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607309",
            "telephone_number": "580-695-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SE 12TH ST UNIT 4",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607309",
            "telephone_number": "580-695-9700",
            "fax_number": "405-888-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "credential": "M.S.B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731545165",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.