Individual provider Active NPI

Ellen Jo Miller, TLMHC

  • Mental Health Counselor
  • Clive, IA
National Provider Identifier
1497437867
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
117088 Issued in IA
Practice address
12247 Stratford Dr
Clive, IA 50325-8147
Phone
(515) 212-3568
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 117088 IA Primary

Addresses

Primary practice location

12247 Stratford Dr
Clive, IA 50325-8147

Mailing address

107 Saint Marys CT
Stuart, IA 50250-8601
Phone (515) 210-2382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819001881 IA Practitioner - Mental Health Counselor 1759880479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12247 Stratford Dr
Clive, IA 50325-8147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117088IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Better Days Mental Health PC Mental Health CurrentSince Sep 1, 2025 Accepting new patients

Locations

1345 SW Park Square Dr
Ste 206
Ankeny, IA 50023
Phone (515) 329-7735

12247 Stratford Dr
Clive, IA 50325
Phone (515) 212-2091

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1497437867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SAINT MARYS CT",
            "city": "STUART",
            "state": "IA",
            "postal_code": "502508601",
            "telephone_number": "515-210-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12247 STRATFORD DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258147",
            "telephone_number": "515-212-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELLEN",
        "middle_name": "JO",
        "credential": "TLMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "117088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.