MARK MILLER (NPI# 1386111250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386111250 |
| Entity Type | Individual |
| Full Name | MARK MILLER |
| Credential | LPC |
| Practice Address |
3605 Calumet St Philadelphia PA 19129-1603 |
| Practice Telephone | 2678792152 |
| Mailing Telephone | 2678792152 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PC003947 | PA | 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 |
| 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 |
| 1033349782 | Mark A Miller | Internal Medicine | 4411 Leland St, Chevy Chase, MD 20815-6013 | 2009-07-15 |
| Street Address |
3605 CALUMET ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19129-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982243754 | Margaret Brown | Social Worker | Sherman Mills 3502 Scott's Lane, Building 16, Philadelphia, PA 19129 | 2019-12-27 |
| 1518325760 | Care365 Inc | Case Management | 3507 Scotts Ln, Ste. 1923, Philadelphia, PA 19129 | 2016-02-03 |
| 1144698408 | Raymond C Nwaneri | Nurse Practitioner | 3301 Scotts Lane, Haven Behavioral Hospital, Philadelphia, PA 19129 | 2015-09-03 |
| 1659748432 | Donna S. Wolf | Social Worker | 3302 Tilden Street, Philadelphia, PA 19129 | 2015-08-27 |
| 1891066619 | Melissa Sayer | Advanced Practice Midwife | 2450 W. Hunting Park Ave, Temple University Health System, Philadelphia, PA 19129 | 2012-01-25 |
| 1154604007 | Keystone Psychological Associates | Clinic/Center | 3502 Scotts Lane, Building 1 Suite 114, Philadelphia, PA 19129 | 2011-09-27 |
| 1174754618 | Clarence B Iszard Jr. | Counselor | 3246 North Bailey Street, Philadelphia, PA 19129 | 2009-07-31 |
| 1487816708 | St.chris Care At Northeast Pediatrics, LLC | Pediatrics | One Falls Center, 3300 Henry Avenue, 4th Floor, Philadelphia, PA 19129 | 2008-06-27 |
| 1740400845 | Sharon L. Young | Psychologist | 3205 Defense Terrace, Abbottsford Family Practice & Counseling, Philadelphia, PA 19129 | 2007-04-30 |
| 1043355621 | Donald Herman Silverman | Dentist | 3405 Warden Drive, Philadelphia, PA 19129 | 2007-02-21 |
| Find all providers in zip 19129 | ||||
| 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 |
|---|---|---|---|---|
| 1235737412 | Tara Jenkins | Counselor | 6701 Woolston Ave, Philadelphia, PA 19138-2628 | 2020-10-11 |
| 1124635339 | Elizabeth Hoffman Sporer | Counselor | 1318 Marlborough St, Philadelphia, PA 19125-3215 | 2020-09-30 |
| 1437764933 | Elizabeth Richburg | Counselor | 5709 W Jefferson St, Philadelphia, PA 19131-3417 | 2020-09-11 |
| 1144833153 | Taylor Daly | Counselor | 7002 Cresheim Rd, Philadelphia, PA 19119-2535 | 2020-08-28 |
| 1871117093 | Arnold Tim Massaquoi | Counselor | 461 Aurania St, Philadelphia, PA 19128-4010 | 2020-06-03 |
| 1891315453 | Alice D Gresham | Counselor | 2025 Conlyn St, Philadelphia, PA 19138-2925 | 2020-04-23 |
| 1518587864 | Wesley G Harris IIi | Counselor | 1621 N 54th St, Philadelphia, PA 19131-4002 | 2020-04-16 |
| 1497383954 | R Denise Coles | Counselor | 7320 Sommers Rd, Philadelphia, PA 19138-1330 | 2020-03-31 |
| 1023645058 | Sicklecelldeiseasassociationofamericaphiladelphia/delawarevalleychapte | Counselor | 5300 Wynnefield Ave Fl 2, Philadelphia, PA 19131-2318 | 2020-03-27 |
| 1245873736 | Antonia Cianfrani | Counselor | 1901 S 9th St Ste 520, Philadelphia, PA 19148-2391 | 2019-10-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19129 |
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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.