Individual provider Active NPI

Lori Miller, MFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1861521486
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43489 Issued in CA
Practice address
333 University Ave Ste 200
Sacramento, CA 95825-6540
Phone
(858) 277-9550
Fax
(858) 279-2763
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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 43489 CA Primary

Addresses

Primary practice location

333 University Ave Ste 200
Sacramento, CA 95825-6540

Mailing address

4225H Oceanside Blvd # 220
Oceanside, CA 92056-3471
Phone (760) 472-3335

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
43489CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Miller Licensed Marriage and Family Therapist a Professional Corp Current Accepting new patients

Locations

4225 Oceanside Blvd
Ste H
Oceanside, CA 92056
Phone (619) 354-0491

333 University Ave
Ste 200
Sacramento, CA 95825
Phone (707) 864-6860

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1861521486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225H OCEANSIDE BLVD # 220",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563471",
            "telephone_number": "760-472-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 UNIVERSITY AVE STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256540",
            "telephone_number": "858-277-9550",
            "fax_number": "858-279-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LORI",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.