Individual provider Active NPI

Mark Miller

  • Clinical Social Worker
  • North Miami, FL
National Provider Identifier
1649744095
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
12955 Biscayne Blvd Ste 200
North Miami, FL 33181-2021
Phone
(727) 732-3369
NPI assigned
Jan 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

12955 Biscayne Blvd Ste 200
North Miami, FL 33181-2021

Mailing address

12955 Biscayne Blvd Ste 200
North Miami, FL 33181-2021
Phone (727) 732-3369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230911002566 FL Practitioner - Clinical Social Worker 7012371982 Reassigns benefits to 1 organization
Practice locations: Saint Petersburg, FL
I20241003000730 MA Practitioner - Clinical Social Worker 7012371982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Saint Petersburg, FL 33710
Phone (727) 465-3931

12955 Biscayne Blvd
Suite 200
North Miami, FL 33181-2021

66 E Flagler St
Miami, FL 33130-1807

8021 28TH Ave N
St Petersburg, FL 33710-2864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring Therapy, PLLC Clinical CurrentSince Dec 12, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jul 25, 2023 Accepting new patients

Locations

10300 49th St N
Ste 526
Clearwater, FL 33762
Phone (727) 732-3369

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

12955 Biscayne Blvd
Ste 200
North Miami, FL 33181
Phone (727) 732-3369

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

Interoperability endpoints

  • Direct secure messaging: markmiller@tdh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1649744095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 BISCAYNE BLVD STE 200",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812021",
            "telephone_number": "727-732-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 BISCAYNE BLVD STE 200",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812021",
            "telephone_number": "727-732-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.