Individual provider Active NPI

Annie Maree Miller, LMFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1982037958
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC52595 Issued in CA
Practice address
482 N Rosemead Blvd Ste 207
Pasadena, CA 91107-3053
Phone
(626) 802-5492
Fax
(626) 325-9349
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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 MFC52595 CA Primary

Addresses

Primary practice location

482 N Rosemead Blvd Ste 207
Pasadena, CA 91107-3053

Mailing address

482 N Rosemead Blvd Ste 207
Pasadena, CA 91107-3053
Phone (626) 802-5492

Other identifiers 2

IdentifierTypeStateIssuer
1912211871OtherGROUP NPI
ZZZ70107YOtherBLUE SHIELD OF CALIFORNIA

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
MFC52595CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sync Counseling Center, Inc. Marriage & Family Therapist Current Accepting new patients

Locations

482 N Rosemead Blvd
Ste 207
Pasadena, CA 91107
Phone (562) 261-5888

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1982037958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 N ROSEMEAD BLVD STE 207",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073053",
            "telephone_number": "626-802-5492",
            "fax_number": "626-325-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 N ROSEMEAD BLVD STE 207",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073053",
            "telephone_number": "626-802-5492",
            "fax_number": "626-325-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANNIE",
        "middle_name": "MAREE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC52595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1912211871",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ70107Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.