Active NPI
Erin Elizabeth Miller
- Professional Counselor
- San Francisco, CA
National Provider Identifier
1811406739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PCCI4523
- Practice address
- 3450 3Rd St BLDG 1
San Francisco, CA 94124-1443 - Phone
- (415) 437-3990
- NPI assigned
- Sep 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PCCI4523 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
3450 3Rd St BLDG 1
San Francisco, CA 94124-1443
Mailing address
3450 3Rd St Ste 1C
San Francisco, CA 94124-1444
Phone (415) 437-3990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94-3266686 | Other | CA | HOMLESS CHILDRENS NETWORK |
| 94-3266686 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2196 3Rd Ave
New York, NY 10035-3501
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCCI4523 | CA | MD | Professional Counselor |
| 8780 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Mental Health | Current | Accepting new patients |
| Homeless Childrens Network | Past | Accepting new patients | |
| Homeless Children'S Network | Past | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 3
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.
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1295871150
-
- Marriage & Family Therapist
- San Francisco, CA
- NPI 1033565841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1811406739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 3RD ST STE 1C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941241444",
"telephone_number": "415-437-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 3RD ST BLDG 1",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941241443",
"telephone_number": "415-437-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ERIN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "PCCI4523",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOMLESS CHILDRENS NETWORK",
"identifier": "94-3266686",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94-3266686",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.