Jennifer Anne Miller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17367

Practice address

1010 N 12TH Ave Ste 324
Pensacola, FL 32501-3370

Phone

(850) 619-1739

NPI assigned

Jan 6, 2017

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

Other names 1

• Jennifer Anne Pearson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1760928337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11983",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241983",
            "telephone_number": "850-619-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N 12TH AVE STE 324",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013370",
            "telephone_number": "850-619-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "MH17367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PEARSON",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David E Miller, D.O.
• Emily Miller, M.S., CF-SLP
• Gregory Thomas Miller, CRNA
• James Stewart Miller, M.D.
• Jennifer Miller, APRN, MSN, ACNP-BC
• Jennifer Lezcano Miller, APRN
• Jessica Marie Miller, M.D.
• Jonathan Drake Miller, PSY.D.
• Kayla Rae Miller
• Kendra Miller, OTR/L

• Mental Health Counselor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; 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.