Active NPI
Robert Andrew Miller, LCSW
- Mental Health Counselor
- Shorewood, WI
National Provider Identifier
1477787984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 112123
- Practice address
- 1623 E Menlo Blvd
Shorewood, WI 53211-2249 - Phone
- (414) 967-9689
- Fax
- (414) 964-2974
- NPI assigned
- May 12, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 112123 | WI | Primary |
Addresses
Primary practice location
1623 E Menlo Blvd
Shorewood, WI 53211-2249
Mailing address
1623 E Menlo Blvd
Shorewood, WI 53211-2249
Phone (414) 967-9689
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112123 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1477787984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1623 E MENLO BLVD",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "532112249",
"telephone_number": "414-967-9689",
"fax_number": "414-964-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 E MENLO BLVD",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "532112249",
"telephone_number": "414-967-9689",
"fax_number": "414-964-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ROBERT",
"middle_name": "ANDREW",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "112123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shorewood, WI
- Christopher J Meyers, D.D.S.
- Margita U Meyers, DMD
- Clarissa Kaye Michaels
- Midlife Midwife Mke
- John J Miller, M.D.
- Milwaukee Mind Solutions
- Milwaukee Speech and Memory LLC
- Mindful Restoration Services LLC (Mindful Restoration Counseling)
- Molars by Mueller (Shorewood Family Dentistry)
- Monica E. Maroney S C (Shorewood Family Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.