Individual provider Active NPI

Scott Thomas Miller, CA LMFT 129223

  • Marriage & Family Therapist
  • Dublin, CA
National Provider Identifier
1639426307
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
103477 Issued in CA
Practice address
5601 Arnold Rd Ste 160
Dublin, CA 94568-7724
Phone
(925) 248-9925
NPI assigned
Aug 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 876-0 HI
Marriage & Family Therapist 106H00000X 103477 CA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

5601 Arnold Rd Ste 160
Dublin, CA 94568-7724

Mailing address

2730 Shadelands Dr BLDG 10
Walnut Creek, CA 94598-2538

Other practice location 1

211 Stockton Ave
Capitola, CA 95010-3253
Phone (925) 967-8880

Other practice location 2

4368 Lincoln Ave
Oakland, CA 94602-2529
Phone (510) 531-3111

Other names 1

  • Scott Thomas Miller Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103477CAMDMarriage & Family Therapist
876-0HIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1639426307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR BLDG 10",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 ARNOLD RD STE 160",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687724",
            "telephone_number": "925-248-9925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Stockton Ave",
            "address_purpose": "LOCATION",
            "city": "Capitola",
            "state": "CA",
            "postal_code": "950103253",
            "country_code": "US",
            "telephone_number": "925-967-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4368 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946022529",
            "country_code": "US",
            "telephone_number": "510-531-3111",
            "fax_number": "510-530-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "credential": "CA LMFT 129223",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "876-0",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103477",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "MILLER",
            "middle_name": "THOMAS",
            "credential": "HI MFT-876-0",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.