Jessica Slover Miller, LCPC, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180013544 Issued in IL

Practice address

4101 John Deere Rd
Moline, IL 61265-9951

Phone

(309) 581-2031

NPI assigned

Apr 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Slover Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jessica.slover.p1@direct.tpqc.nextgenshare.com

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1588246789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 107TH AVE",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612645215",
            "telephone_number": "309-265-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 JOHN DEERE RD",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612659951",
            "telephone_number": "309-581-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOVER MILLER",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LCPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "106271",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SLOVER",
            "credential": "LCPC, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phanicharan Aditya Sistla, M.D.
• Sisu Counseling Center, PLLC
• Donna J Sivertsen, RD, LDN, CDE
• Veronica Skaradzinski, MS, RDN, LDN
• Kristine Skinner, BSW, MHP
• Elizabeth L Smith, LCSW
• Garvin B Smith III, DC
• Kevin Dennis Smith, D.P.M.
• Mikaylee Smith
• Olivia Kay Smith, DPT

• Professional Counselor in Moline, IL
• Providers in Moline, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.