Jared Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29699 Issued in ID

Practice address

320 B St
Suite 110
Idaho Falls, ID 83402-3547

Phone

(208) 200-3650

NPI assigned

Jun 4, 2013

Sex

Male

Sole proprietor

Yes

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1508204231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 B ST",
            "address_2": "SUITE 110",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023547",
            "telephone_number": "208-200-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 B ST",
            "address_2": "SUITE 110",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023547",
            "telephone_number": "208-200-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JARED",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "29699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian David Miller, PA-C BS
• Christina Marie Miller, RBT/TEACHING CERT/MA
• Chyrelle Miller, C.M.T.
• Daniel H. Miller, M.D.
• Emily Miranda Miller
• John Garth Oliver Miller, M.D.
• Lori C Miller, CNP
• Mark L Miller, R.C.S.,R.V.S.
• Michael Chad Miller, D.C.
• Toni Miller, LPC, ACADC (ID), LAC

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.