Jacob Thomas Miller, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW13087 Issued in KS

Practice address

6611 E Central Ave Ste C
Wichita, KS 67206-1937

Phone

(316) 706-1873

NPI assigned

Jun 19, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elevated Minds Counseling LLC

  • Social Worker
  • Wichita, KS
  • NPI 1326723107
  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1497430375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 N NEWBERRY CIR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372314",
            "telephone_number": "316-706-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 E CENTRAL AVE STE C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061937",
            "telephone_number": "316-706-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JACOB",
        "middle_name": "THOMAS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "LMSW13087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fletcher Miller, MD
• Frances A Miller, ARNP
• Geraldine Maria Miller, OT
• Jack W. Miller, DDS
• Jaclyn Miller, LMSW
• Jade Therese Miller, RN
• Janet L Miller, CRNA
• Janet L Miller, ATC
• Jason Lee Miller, LMFT
• Jessica Miller, LMSW

• All providers in Wichita, KS
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.