Individual provider Active NPI

Marasha Marie Miller, LMFT

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1700597614
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135588 Issued in CA
Practice address
5701 Truxtun Ave Ste 220
Bakersfield, CA 93309-0402
Phone
(661) 431-2756
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 135588 CA Primary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 135588 CA

Addresses

Primary practice location

5701 Truxtun Ave Ste 220
Bakersfield, CA 93309-0402

Mailing address

5701 Truxtun Ave Ste 220
Bakersfield, CA 93309-0402
Phone (661) 431-2756

Other practice location 1

4200 Crescent Rock Ln
Bakersfield, CA 93311-2860
Phone (661) 491-3402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
135588CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Place of Preservation Holistic Family Counseling Marriage & Family Therapist Current Accepting new patients
Willie Young'S Home for Young Men PastSince Jan 17, 2021 Accepting new patients

Locations

5701 Truxtun Ave
Ste 220
Bakersfield, CA 93309
Phone (661) 322-4777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1700597614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 TRUXTUN AVE STE 220",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090402",
            "telephone_number": "661-431-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 TRUXTUN AVE STE 220",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090402",
            "telephone_number": "661-431-2756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Crescent Rock Ln",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933112860",
            "country_code": "US",
            "telephone_number": "661-491-3402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARASHA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135588",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "135588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.