Stevie Miller

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

673-228 Issued in WI

Practice address

13105 W Bluemound Rd Ste 100
Brookfield, WI 53005-8046

Phone

(262) 641-9790

NPI assigned

Jan 22, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 12, 2024 through Nov 12, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Allergic Diseases SC

  • Allergy & Immunology Physician
  • West Allis, WI
  • NPI 1609898287
  NPD (past)
• Pathways Counseling Center II LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Allis, WI
  • NPI 1942490438
  NPD (past)

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552089600000",
    "number": "1700340965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11274 W TALON CIR",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532283142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13105 W BLUEMOUND RD STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530058046",
            "telephone_number": "262-641-9790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 W Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53216",
            "country_code": "US",
            "telephone_number": "414-455-3879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEVIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "673-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Vernon Miller, D.D.S..
• Heidi Jo Miller, MS CCC SLP
• Laura Miller
• Michelle A Miller
• Robin R Miller, LPC
• Gregory Scott Milleville, M.D.
• Robin Marie Mills, PHYSICAL THERAPIST
• Jacob J Milosavljevic
• Keonda Milton
• Milwaukee Clinic of Ortho Surgery LTD

• Marriage & Family Therapist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.