Philip Miller, LPC LLMFT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401015488 Issued in MI

Practice address

12048 James St
Holland, MI 49424-9661

Phone

(616) 396-0623

NPI assigned

Jun 17, 2016

Sex

Male

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Burke Group Counseling and Consulting Professionals LLCGroup PAC ID 6103190335, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Burke Group Counseling & Consulting Professionals LLC

  • Clinical Social Worker
  • Grandville, MI
  • NPI 1639593627

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1649620832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 SHAWMUT CT NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043764",
            "telephone_number": "616-915-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12048 JAMES ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249661",
            "telephone_number": "616-396-0623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8250 Byron Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Byron Center",
            "state": "MI",
            "postal_code": "493159198",
            "country_code": "US",
            "telephone_number": "616-222-0631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "LPC LLMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Wade Miller, D.C.
• Derek Miller, PHARMD
• Heather Ashley Miller, D.C.
• Joy Angeline Miller
• Lynda T Miller, MSPT
• Tricia R Miller, MD
• Kelly Charine Minder
• Amanda Mishler, PA-C
• Kimberley Paige Herman Mitchell, MA-CCC/SLP
• Rachel Leanne Mitchell, BASW

• Counselor in Holland, MI
• Providers in Holland, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.