Dudley Byron Miller, M.DIV.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

RC00000819 Issued in WA

Practice address

1309 114TH Ave SE
Suite 316
Bellevue, WA 98004-6903

Phone

(206) 898-9029

Fax

(425) 462-2966

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912004169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 114TH AVE SE",
            "address_2": "SUITE 316",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046903",
            "telephone_number": "206-898-9029",
            "fax_number": "425-462-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 114TH AVE SE",
            "address_2": "SUITE 316",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046903",
            "telephone_number": "206-898-9029",
            "fax_number": "425-462-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DUDLEY",
        "middle_name": "BYRON",
        "name_prefix": "Mr.",
        "credential": "M.DIV.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00000819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erin Leigh Friese Miller, PT, DPT
• Haley Ann Miller
• Jennifer Molina Miller
• Jessica L Miller, LMHC

• Counselor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.