Active NPI
Jennifer S. Miljan, M.S.
- Marriage & Family Therapist
- Lancaster, CA
National Provider Identifier
1477737617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 67411
- Practice address
- 43520 Division St
Lancaster, CA 93535-4089 - Phone
- (661) 274-0770
- Fax
- (661) 274-9978
- NPI assigned
- Dec 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 67411 | CA | Primary |
Addresses
Primary practice location
43520 Division St
Lancaster, CA 93535-4089
Mailing address
43520 Division St
Lancaster, CA 93535-4089
Phone (661) 274-0770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #95-2633765 | Other | CA | MEDI-CAL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 67411 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370044800000",
"number": "1477737617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43520 DIVISION ST",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935354089",
"telephone_number": "661-274-0770",
"fax_number": "661-274-9978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43520 DIVISION ST",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935354089",
"telephone_number": "661-274-0770",
"fax_number": "661-274-9978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILJAN",
"first_name": "JENNIFER",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2013-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 67411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "#95-2633765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.