Individual provider Active NPI

Jennifer E Miller, LMFT

  • Marriage & Family Therapist
  • Johnson City, TN
National Provider Identifier
1811325194
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1606 Issued in TN
Practice address
2514 1/2 Wesley St Ste 2
Johnson City, TN 37601-1754
Phone
(423) 529-0385
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 1606 TN Primary

Addresses

Primary practice location

2514 1/2 Wesley St Ste 2
Johnson City, TN 37601-1754

Mailing address

2514 1/2 Wesley St Ste 2
Johnson City, TN 37601-1754
Phone (423) 529-0385

Other practice location 1

1417 Warpath Dr
Suite B
Kingsport, TN 37664-3333
Phone (423) 408-2601

Other names 1

  • Jennifer Richards Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1606TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsport Counseling Associates, PLLC Marriage & Family Therapist Past Accepting new patients
Papillon Behavioral Health, LLC PastSince Feb 3, 2019 Accepting new patients

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1811325194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 1/2 WESLEY ST STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011754",
            "telephone_number": "423-529-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 1/2 WESLEY ST STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011754",
            "telephone_number": "423-529-0385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1417 Warpath Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376643333",
            "country_code": "US",
            "telephone_number": "423-408-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RICHARDS",
            "credential": "MA,MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

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