Jessica Megan Miller, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006966 Issued in NY

Practice address

55 Nesconset Hwy Ste 1
Port Jefferson Station, NY 11776-2631

Phone

(631) 474-8099

Fax

(888) 506-5997

NPI assigned

Apr 19, 2017

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

Medicare fee-for-service enrollment

Enrolled in NY

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, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Island Psychiatry PCGroup PAC ID 9032490610, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Island Psychiatry, P.C.

  • Cognitive & Behavioral Psychologist
  • Port Jefferson, NY
  • NPI 1609249754
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1700310547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NESCONSET HWY STE 1",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762631",
            "telephone_number": "631-474-8099",
            "fax_number": "888-506-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NESCONSET HWY STE 1",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762631",
            "telephone_number": "631-474-8099",
            "fax_number": "888-506-5997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Walt Whitman Rd Ste 217W",
            "address_purpose": "LOCATION",
            "city": "Huntington Station",
            "state": "NY",
            "postal_code": "117463640",
            "country_code": "US",
            "telephone_number": "631-474-8099",
            "fax_number": "888-506-5997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSICA",
        "middle_name": "MEGAN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Miles, PHD,HHP
• Alexandra Anne Mileto
• Kim Marie Millan, LPN
• Karen Miller Nunez
• Elizabeth Miller
• Zara Clare Miller, OT
• Amy Elizabeth Millheiser, LCSW
• Melena Leigh Mills, RPH
• Mary Anne Miranda, NP-C
• Usman Mirza, MD, MBA

• Mental Health Counselor in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.