Shelley Miller, MS, IMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

F0000088 Issued in OH

Practice address

3821 Little York Rd
Dayton, OH 45414-2409

Phone

(937) 454-0092

Fax

(937) 264-1101

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Marriage and Family Therapist

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Behavioral Care, LTDGroup PAC ID 6305806886, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Midwest Behavioral Care, LTD

  • Mental Health Counselor
  • Dayton, OH
  • NPI 1649207911
  Medicare reassignment Care Compare group NPD
• Midwest Behavioral Care

  • Mental Health Counselor
  • Springboro, OH
  • NPI 1477673697
  NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669552899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 LITTLE YORK RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142409",
            "telephone_number": "937-454-0092",
            "fax_number": "937-264-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 LITTLE YORK RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142409",
            "telephone_number": "937-454-0092",
            "fax_number": "937-264-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHELLEY",
        "name_prefix": "Mrs.",
        "credential": "MS, IMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F0000088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "F0000088",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roland A Miller Jr.
• Samantha Miller
• Sandra K Miller
• Sarah M Miller, MT-BC
• Shannon Corey Miller, M.D.
• Steven Miller
• Steven Abbott Miller, M.D.
• Susan Lee Miller, MSN
• Taylor C Miller
• Tevin Miller

• Marriage & Family Therapist in Dayton, OH
• Providers in Dayton, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.