MARK MILLER (NPI# 1053634113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053634113 |
| Entity Type | Individual |
| Full Name | MARK MILLER |
| Credential | MS |
| Practice Address |
3810 Winchester Rd Memphis TN 38118-6045 |
| Mailing Address |
6505 Ames Cv Bartlett TN 38134-3818 |
| Practice Telephone | 9013691420 |
| Practice Fax Number | 9013691433 |
| Mailing Telephone | 9013848748 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932731692 | Mark A Miller | Pharmacist | 5431 Sw 35th Dr Ste 200, Gainesville, FL 32608-5277 | 2020-02-10 |
| 1386111250 | Mark Miller | Counselor | 3605 Calumet St, Philadelphia, PA 19129-1603 | 2018-10-30 |
| 1386124873 | Mark E Miller | Dentist | 558 E Bay Ave, Manahawkin, NJ 08050-3340 | 2018-08-15 |
| 1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
| 1801264148 | Mark J Miller | Counselor | 4141 Highway 11, Rising Fawn, GA 30738-4633 | 2015-09-03 |
| 1427317197 | Mark Anthony Miller | Physical Therapist | 537 West Main St, Brewster, WA 98812-1200 | 2012-05-15 |
| 1790044428 | Mark Ian Miller | Student in an Organized Health Care Education/Training Program | 843 S Sierra Bonita Ave, Los Angeles, CA 90036-4703 | 2012-05-15 |
| 1023384989 | Mark H Miller | Internal Medicine | 6318 17th Ave Ne, Seattle, WA 98115-6809 | 2012-03-26 |
| 1649578816 | Mark A Miller | Pharmacist | 8 Elk Plz, Elkview, WV 25071-9602 | 2011-03-11 |
| 1538399753 | Mark E Miller | Social Worker | 645 S 5th St, Montrose, CO 81401-5710 | 2009-07-22 |
| Street Address |
3810 WINCHESTER RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38118-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952400996 | Debra Sue Dillon | Registered Nurse | 3810 Winchester Rd, Southeast Mental Health Center, Memphis, TN 38118-9007 | 2006-09-22 |
| 1093313892 | Kimberly Byars | Social Worker | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2020-10-14 |
| 1346748332 | William R Rubino Jr. | Counselor | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2018-01-25 |
| 1952819047 | Melanie S Nolan | Nurse Practitioner | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2018-01-11 |
| 1083165104 | Alliance Healthcare Pharmacy | Pharmacy | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2016-10-24 |
| 1225466048 | Tareyton Mason | Nurse Practitioner | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2013-10-15 |
| 1811235575 | Eric Micheal Harlin | Social Worker | 3810 Winchester Rd, Memphis, TN 38118 | 2013-01-30 |
| 1861738916 | Douglas Hodge | Counselor | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2012-12-18 |
| 1730449455 | /yvette Hunter | Counselor | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2012-05-29 |
| 1003175373 | Danielle Wells | Case Manager/Care Coordinator | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2012-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1215415823 | Life Partners Home Care Agency, LLC | In Home Supportive Care | 2879 Knightway Road, Memphis, TN 38118 | 2018-08-06 |
| 1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
| 1770957375 | Teresa Hughes | Social Worker | 3180 Winchester Road, Memphis, TN 38118 | 2015-11-19 |
| 1891170437 | Bensons Express Pharmacy | Health Maintenance Organization | 3081 South Perkins Rd, Memphis, TN 38118 | 2015-07-24 |
| 1083044226 | Kimberly Winters Griffin | Nurse's Aide | 4100 Tarry Park Apt1, Memphis, TN 38118 | 2013-11-26 |
| 1508017211 | Amy Renee Rike | Counselor | 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 | 2008-10-01 |
| 1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
| 1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
| Find all providers in zip 38118 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449121 | Shanille Bowens | Counselor | 7174 Blue Grouse Ln, Memphis, TN 38125-4407 | 2020-08-29 |
| 1982225124 | Capitol City Family Services | Counselor | 5100 Poplar Ave Ste 202, Memphis, TN 38137-0202 | 2020-04-28 |
| 1114496494 | Debra Evans | Counselor | 6084 Apple Tree Dr Ste 10, Memphis, TN 38115-0305 | 2018-11-16 |
| 1417430323 | Sharon Denise Richardson | Counselor | 6634 Birch Run Ln, Memphis, TN 38115-5208 | 2018-09-07 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1063961696 | George Hale | Counselor | 560 Colonial Rd, Suite 201, Memphis, TN 38117-4019 | 2016-09-23 |
| 1174918502 | Janet Malone | Counselor | 315 Dr Martin Luther King Dr, Memphis, TN 38104 | 2015-04-02 |
| 1992145726 | Danelle Marie Batterton | Counselor | 113 E Monroe St, Memphis, MO 63555-1437 | 2013-06-25 |
| 1922317239 | Damie Eileen Turpin Roberts | Counselor | 3150 Wilcox Ave, Memphis, TN 38111-3427 | 2010-10-04 |
| 1538488937 | Richard Harrell Jr. | Counselor | 2911 Brunswick Rd., Memphis, TN 38133 | 2010-05-25 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.