PRESTON MILLER (NPI# 1679023949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679023949 |
| Entity Type | Individual |
| Full Name | PRESTON MILLER |
| Practice Address |
5202 Freeway Park Dr Riverdale UT 84405-4016 |
| Mailing Address |
6013 S Redwood Rd Taylorsville UT 84123-5220 |
| Practice Telephone | 8012555131 |
| Mailing Telephone | 8012555131 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023388485 | Preston Miller | Specialist | 6859 Belfort Oaks Pl, Jacksonville, FL 32216-6242 | 2012-01-03 |
| 1477794451 | Preston David Miller | Physician Assistant | 3051 N Windsong Dr, Prescott Valley, AZ 86314-2248 | 2009-03-20 |
| 1558491845 | Preston D Miller IIi | Dentist | 460 N Parkway, Jackson, TN 38305-2818 | 2007-03-06 |
| 1639208127 | Preston D Miller Jr. | Dentist | 6268 Poplar Ave, Memphis, TN 38119-4713 | 2007-03-02 |
| 1306822903 | Preston Roy Miller | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-16 |
| Street Address |
5202 FREEWAY PARK DR |
| City | RIVERDALE |
| State | UT |
| Zip Code | 84405-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346505377 | Shaylynn Lambert | Social Worker | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2012-07-05 |
| 1538601224 | Dallas Tueller | Behavior Technician | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-10 |
| 1457893141 | Utah Behavior Services | Behavior Technician | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-10 |
| 1861934812 | Caleb Clark | Counselor | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-08 |
| 1144762196 | Tyler Arrington | Counselor | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-08 |
| 1790237931 | Carter Wright | Counselor | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-03 |
| 1326590654 | Landon Weeks | Counselor | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-03 |
| 1780136010 | Hadley Handsaker | Counselor | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-03 |
| 1730631193 | Sarah Durbano | Counselor | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-01 |
| 1023560901 | Julie Reeves | Counselor | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| 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 |
|---|---|---|---|---|
| 1992205694 | Conscientious Coupling, LLC | Counselor | 6811 Kenilworth Ave # 500-w3, Riverdale, MD 20737-1333 | 2018-02-19 |
| 1851817894 | Sheila Eloise Smith | Counselor | 8491 Cedar Creek Rdg, Riverdale, GA 30274-4558 | 2017-08-22 |
| 1255880654 | Ivan Fields | Counselor | 7109 Greystone Dr, Riverdale, GA 30296-2256 | 2016-09-26 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1932570033 | Vernon Mae Gates | Counselor | 8206 Winewood Ct, Riverdale, GA 30274-4232 | 2015-10-14 |
| 1225386931 | Lawana Waiters | Counselor | 136 Highway 138, Riverdale, GA 30236 | 2012-08-28 |
| 1578728671 | Life Changers Community Empowerment Enterprises, Inc | Counselor | 7098 Sir Charles Ct, Suite A, Riverdale, GA 30274-3236 | 2008-07-28 |
| 1881745263 | Kennard Nears | Counselor | 187 Shenandoah Dr, Riverdale, GA 30274-3247 | 2007-01-14 |
| 1861934812 | Caleb Clark | Counselor | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-08 |
| 1144762196 | Tyler Arrington | Counselor | 5202 Freeway Park Dr, Riverdale, UT 84405-4016 | 2016-11-08 |
| Find all providers in RIVERDALE | ||||
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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.