Individual provider Active NPI

Kimberlee Miller, LMFT

  • Marriage & Family Therapist
  • Robesonia, PA
National Provider Identifier
1659967107
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF001176 Issued in PA
Practice address
509 W Penn Ave Unit 10
Robesonia, PA 19551-1425
Phone
(610) 750-9135
Fax
(610) 644-6431
NPI assigned
Dec 18, 2020
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF001176 PA Primary

Addresses

Primary practice location

509 W Penn Ave Unit 10
Robesonia, PA 19551-1425

Mailing address

509 W Penn Ave Unit 10
Robesonia, PA 19551-1425
Phone (610) 750-9135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240301003691 PA Practitioner - Marriage and Family Therapist 9032554886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearthfire Psychology, PLLCGroup PAC ID 5698187565, 12 clinicians

Practice addresses (Care Compare)

220 N Park Rd
BLDG 5
Wyomissing, PA 19610-2945
Phone (610) 823-7799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hearthfire Psychology, PLLC Marriage & Family Therapist CurrentSince Jan 29, 2024 Accepting new patients
Furnace Creek Counseling LLC PastSince Dec 22, 2020 Accepting new patients

Locations

220 N Park Rd
Bldg 5
Wyomissing, PA 19610
Phone (610) 823-7799

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1659967107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W PENN AVE UNIT 10",
            "city": "ROBESONIA",
            "state": "PA",
            "postal_code": "195511425",
            "telephone_number": "610-750-9135",
            "fax_number": "610-644-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W PENN AVE UNIT 10",
            "city": "ROBESONIA",
            "state": "PA",
            "postal_code": "195511425",
            "telephone_number": "610-750-9135",
            "fax_number": "610-644-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIMBERLEE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robesonia, PA

Sources for this page

Verify at the official NPI Registry.