Individual provider Active NPI

Daniel Miller, M.A. ; MHP; LMHC

  • Behavior Analyst
  • Redmond, WA
National Provider Identifier
1801905815
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LH60018127 Issued in WA
Practice address
16150 NE 85TH St
Suite 222
Redmond, WA 98052-3539
Phone
(425) 869-6687
Fax
(877) 880-4388
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Behavior Analyst 103K00000X LH60018127 WA Primary

Addresses

Primary practice location

16150 NE 85TH St
Suite 222
Redmond, WA 98052-3539

Mailing address

18039 25TH Ave NE
Shoreline, WA 98155-3905
Phone (425) 774-4269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 27, 2025 through Feb 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60018127WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Family Services 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1801905815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18039 25TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553905",
            "telephone_number": "425-774-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST",
            "address_2": "SUITE 222",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523539",
            "telephone_number": "425-869-6687",
            "fax_number": "877-880-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DANIEL",
        "credential": "M.A. ; MHP; LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "LH60018127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.