Renee G Miller, PSYD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60745030 Issued in WA

Practice address

599 NW Walker Rd
Poulsbo, WA 98370-8140

Phone

(360) 451-9253

NPI assigned

Jan 25, 2007

Sex

Female

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.

Practice roles

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.

• Shades of Grace Emdr, Equine, Ifs Therapy, PLLC

  • Mental Health Counselor
  • Poulsbo, WA
  • NPI 1609585595
  NPD Authorized official
• Journey Holistic Wellness Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Irvine, CA
  • NPI 1912390493
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1578619409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 NW WALKER RD",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708140",
            "telephone_number": "360-451-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 NW WALKER RD",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708140",
            "telephone_number": "360-451-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RENEE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60745030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Brooks DMD, Ms, PLLC
• Michael S. Burke, M.D., PLLC
• Jennifer Anne Miller, LMT
• Laura Miller, LMP
• Margery F Miller, PT
• Zachary Miller, DDS
• Mallory Milligan, MA, LMHCA
• Megan Marie Milyard, OTRL
• Lisa Mitchell-Piper
• Kristen Jordan Mitchell

• Marriage & Family Therapist in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.