Individual provider Active NPI

Justin Craig Miller, LMHC

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1699358291
Registry record updated Dec 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC-742 Issued in HI
Practice address
1164 Bishop St Ste 930
Honolulu, HI 96813-6705
Phone
(808) 638-3870
Fax
(808) 829-3070
NPI assigned
Apr 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC-742 HI Primary

Addresses

Primary practice location

1164 Bishop St Ste 930
Honolulu, HI 96813-6705

Mailing address

1164 Bishop St Ste 930
Honolulu, HI 96813-6705
Phone (808) 638-3870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20240305001702 HI Practitioner - Mental Health Counselor 1355786989 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC-742HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Therapy LLC Mental Health CurrentSince Jan 20, 2024 Accepting new patients

Locations

758 Kapahulu Ave
Honolulu, HI 96816
Phone (707) 980-3310

850 W Hind Dr
Ste 202
Honolulu, HI 96821
Phone (808) 387-4995

1164 Bishop St
Ste 930
Honolulu, HI 96813
Phone (808) 638-3870

Organizations & group practices 1

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": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1699358291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 BISHOP ST STE 930",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136705",
            "telephone_number": "808-638-3870",
            "fax_number": "808-829-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 BISHOP ST STE 930",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136705",
            "telephone_number": "808-638-3870",
            "fax_number": "808-829-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JUSTIN",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.