Individual provider Active NPI

Judith A Miller, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1932350972
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10318 Issued in TX
Practice address
6640 Long Point Rd
Houston, TX 77055-2633
Phone
(713) 686-9194
Fax
(713) 686-9413
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10318 TX Primary

Addresses

Primary practice location

6640 Long Point Rd
Houston, TX 77055-2633

Mailing address

6640 Long Point Rd
Houston, TX 77055-2633
Phone (713) 686-9194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20081222000256 TX Practitioner - Clinical Social Worker 7618039959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kinghaven Counseling Group IncGroup PAC ID 5597898510, 14 clinicians

Practice addresses (Care Compare)

6100 Hillcroft Ave
Suite 642
Houston, TX 77081-1009
Phone (713) 457-4372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Counseling,Inc. Clinical CurrentSince Dec 1, 2017 Accepting new patients
Kinghaven Counseling Group Inc Clinical CurrentSince Dec 11, 2020 Accepting new patients

Locations

3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328

6100 Hillcroft Ave
Ste 642
Houston, TX 77081

6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357

2007 N Collins Blvd
Ste 303
Richardson, TX 75080
Phone (972) 947-4112

Organizations & group practices 2

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1932350972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552633",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552633",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JUDITH",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "10318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.