MR. JIM MILLER (NPI# 1710995006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710995006 |
| Entity Type | Individual |
| Full Name | MR. JIM MILLER |
| Credential | MA LPC CAAC |
| Practice Address |
575 S Main St Suite 6 Plymouth MI 48170-1778 |
| Mailing Address |
37210 Herman St Romulus MI 48174-3951 |
| Practice Telephone | 7344517800 |
| Mailing Telephone | 7347659642 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401009325 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720259906 | Jim Raymond Miller | Audiologist | 304 10th Ave Ne, Hickory, NC 28601-3834 | 2008-03-17 |
| Street Address |
575 S MAIN ST SUITE 6 |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-1778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776321 | Tammie Darol Thomas | Counselor | 575 S Main St, Plymouth, MI 48170-1778 | 2020-10-06 |
| 1770127631 | April Meadows | Peer Specialist | 575 S Main St, Plymouth, MI 48170-1778 | 2019-11-04 |
| 1609352780 | Deshara Mckinney | Social Worker | 575 S Main St, Plymouth, MI 48170-1778 | 2018-07-12 |
| 1982193744 | Salina Danielle Smith | Counselor | 575 S Main St, Plymouth, MI 48170-1778 | 2018-05-08 |
| 1104315951 | Robert Alan Farrell | Counselor | 575 S Main St, Plymouth, MI 48170-1778 | 2018-05-08 |
| 1336673342 | Anastasia Gibbs | Counselor | 575 S Main St, Plymouth, MI 48170-1778 | 2017-04-17 |
| 1285172593 | Scott Turner | Social Worker | 575 S Main St, Ste 6, Plymouth, MI 48170-1778 | 2017-02-07 |
| 1801334107 | Wendolyn Anderson | Social Worker | 575 S Main St, Ste 6, Plymouth, MI 48170-1778 | 2017-02-07 |
| 1184179244 | Robert Simon | Counselor | 575 S Main St, Ste 6, Plymouth, MI 48170-1778 | 2016-08-18 |
| 1225408552 | Delmer Quick | Counselor | 575 S Main St, Ste 6, Plymouth, MI 48170-1778 | 2015-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124648 | Sedonia Counseling Services, LLC | Counselor | 10812 Cardinal Cir, Plymouth, IN 46563-7968 | 2020-11-02 |
| 1992329676 | Ann Kowalski | Counselor | 1259 Old Sandwich Rd, Plymouth, MA 02360-2516 | 2020-05-29 |
| 1497378780 | Juli Lynn Sneider | Counselor | 23 South St Apt 5, Plymouth, MA 02360-2984 | 2020-05-21 |
| 1588218440 | Kyle Hochstin | Counselor | 5 Jacobs Ladder, Plymouth, MA 02360-2115 | 2019-07-30 |
| 1700444635 | Abstract Therapy LLC. | Counselor | 5 Main Street Ext Ste 303, Plymouth, MA 02360-3390 | 2019-06-05 |
| 1902360209 | Shari Cimino Pllc | Counselor | 42225 Ann Arbor Rd E, Plymouth, MI 48170-4364 | 2019-01-31 |
| 1699243667 | Macayla Kelley | Counselor | 70 Ellisville Grn, Plymouth, MA 02360-1742 | 2018-11-08 |
| 1023593605 | Gail Baran Good | Counselor | 13896 Covington Dr, Plymouth, MI 48170-2449 | 2018-09-28 |
| 1972085066 | Brandon Welch | Counselor | 12 Anchor Dr, Plymouth, MA 02360-3202 | 2018-09-05 |
| 1609393842 | Kathleen Morton Hicks | Counselor | 64 Industrial Park Rd Ste B, Plymouth, MA 02360-4881 | 2017-08-28 |
| Find all providers in PLYMOUTH | ||||
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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.