Individual provider Active NPI

Michael Andrew Miller, LMHC, MHP

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1790834216
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009951 Issued in WA
Practice address
400 E Evergreen Blvd Ste 301B
Vancouver, WA 98660-3280
Phone
(360) 989-0622
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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 LH00009951 WA Primary

Addresses

Primary practice location

400 E Evergreen Blvd Ste 301B
Vancouver, WA 98660-3280

Mailing address

400 E Evergreen Blvd Ste 301B
Vancouver, WA 98660-3280
Phone (360) 989-0622

Other practice location 1

1104 Main St
suite #440
Vancouver, WA 98660-2999
Phone (360) 694-3040

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
LH00009951WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Counseling Services, PC Past Accepting new patients

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1790834216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD STE 301B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603280",
            "telephone_number": "360-989-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD STE 301B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603280",
            "telephone_number": "360-989-0622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 Main St",
            "address_2": "suite #440",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986602999",
            "country_code": "US",
            "telephone_number": "360-694-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "credential": "LMHC, MHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.