Active NPI
Jacie Michelle Miller
- Behavior Technician
- Rosenberg, TX
National Provider Identifier
1639788615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20-111564
- Practice address
- 2818 Hazelwood Dr
Rosenberg, TX 77471-3295 - Phone
- (832) 946-1581
- NPI assigned
- Jul 27, 2020
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 20-111564 | TX | Primary |
Addresses
Primary practice location
2818 Hazelwood Dr
Rosenberg, TX 77471-3295
Mailing address
2818 Hazelwood Dr
Rosenberg, TX 77471-3295
Phone (832) 946-1581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 742105957 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20-111564 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1639788615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 HAZELWOOD DR",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774713295",
"telephone_number": "832-946-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 HAZELWOOD DR",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774713295",
"telephone_number": "832-946-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JACIE",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2026-09-29",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "20-111564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "742105957",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.