Active NPI
Kelly Bawden Miller, LMFT
- Marriage & Family Therapist
- St George, UT
National Provider Identifier
1497074371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 5360626 3904
- Practice address
- 545 S Valley View Dr
46
St George, UT 84770-4405 - Phone
- (702) 510-7726
- NPI assigned
- May 18, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5360626-6006 | UT | |
| Marriage & Family Therapist | 106H00000X | 5360626 3904 | UT | Primary |
Addresses
Primary practice location
545 S Valley View Dr
46
St George, UT 84770-4405
Mailing address
545 S Valley View Dr
46
St George, UT 84770-4405
Phone (702) 510-7726
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 |
|---|---|---|---|
| 5360626-6006 | UT | MD | Addiction (Substance Use Disorder) Counselor |
| 5360626 3904 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1497074371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 S VALLEY VIEW DR",
"address_2": "46",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847704405",
"telephone_number": "702-510-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 S VALLEY VIEW DR",
"address_2": "46",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847704405",
"telephone_number": "702-510-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAWDEN MILLER",
"first_name": "KELLY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": "5360626-6006",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "5360626 3904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.