Rose Diane Miller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH-2429 Issued in FL

Practice address

1208 NW 6TH St
Gainesville, FL 32601-4245

Phone

(352) 379-2829

Fax

(352) 379-2843

NPI assigned

Oct 31, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1902440142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 NW 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014245",
            "telephone_number": "352-379-2829",
            "fax_number": "352-379-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 NW 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014245",
            "telephone_number": "352-379-2829",
            "fax_number": "352-379-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROSE",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH-2429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "MH-2429",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djjprograms@itmflorida.com",
            "affiliation": "N",
            "address_1": "1208 NW 6th St",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326014245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nysha Miller
• Pam Miller, LMHC
• Patricia Kathleen Miller, MD
• Phyllis Miller
• Reece Miller, DMD
• Sabrina Miller
• Samantha Alexis Miller, DPT
• Sephra Miller, PA-C
• Suzanne Miller, BA, SLP -ASST
• Terrell Reagan Miller, CASE MANAGER

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.