Individual provider Active NPI

Shirley Anne Miller, M.S., L.M.F.T

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1851642581
Registry record updated Oct 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 51069 Issued in CA
Practice address
870 Hampshire Rd
Suite P
Westlake Village, CA 91361-2810
Phone
(805) 660-7743
NPI assigned
Sep 20, 2012
Last updated
Oct 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 51069 CA Primary

Addresses

Primary practice location

870 Hampshire Rd
Suite P
Westlake Village, CA 91361-2810

Mailing address

870 Hampshire Rd
Suite P
Westlake Village, CA 91361-2810
Phone (805) 660-7743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129004122 NC Practitioner - Marriage and Family Therapist 8628421385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cotswold Clinician Support ServicesGroup PAC ID 3971884511, 18 clinicians

Practice addresses (Care Compare)

10030 Park Cedar Dr
Suite 200
Charlotte, NC 28210-8901
Phone (704) 264-2973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC 51069CAMDMarriage & Family Therapist
2084NCMDChiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475280000000",
    "number": "1851642581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 HAMPSHIRE RD",
            "address_2": "SUITE P",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612810",
            "telephone_number": "805-660-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 HAMPSHIRE RD",
            "address_2": "SUITE P",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612810",
            "telephone_number": "805-660-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHIRLEY",
        "middle_name": "ANNE",
        "credential": "M.S., L.M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2016-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 51069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.