REBECCA JO MILLER (NPI# 1730647116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730647116 |
| Entity Type | Individual |
| Full Name | REBECCA JO MILLER |
| Credential | LPC |
| Practice Address |
1032 S Bridgeway Pl Eagle ID 83616-6099 |
| Mailing Address |
2608 S Columbus St Boise ID 83705-4340 |
| Practice Telephone | 2082460123 |
| Practice Fax Number | 2082460125 |
| Mailing Telephone | 2088664628 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-7210 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | LPC-7210 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829847 | Rebecca Miller | Technician | 5672 48th Ave Se, Streeter, ND 58483-9507 | 2020-10-22 |
| 1457963779 | Rebecca Erin Miller | Case Manager/Care Coordinator | 100 Francis St, Irvine, KY 40336-1018 | 2020-08-18 |
| 1619509668 | Rebecca Jean Miller | Technician | 429 Highland Meadows Dr, Blountville, TN 37617-3375 | 2020-02-07 |
| 1346886082 | Rebecca Danielle Miller | Pharmacist | 2901 Patterson Rd, Grand Junction, CO 81504-3001 | 2019-11-18 |
| 1336607654 | Rebecca Leigh Miller | Occupational Therapist | 24 Glendale Dr, Manalapan, NJ 07726-3220 | 2019-03-05 |
| 1235693987 | Rebecca Miller | Massage Therapist | 4311 Norfolk Pkwy Ste 210, West Melbourne, FL 32904-8616 | 2019-01-28 |
| 1588195010 | Rebecca Miller | Behavioral Analyst | 32979 W Walls Rd, Hermiston, OR 97838-6362 | 2017-03-26 |
| 1548709629 | Rebecca Miller | Psychologist | 34 Park St Rm 271b, New Haven, CT 06519-1109 | 2017-02-22 |
| 1285187518 | Rebecca Miller | Psychologist | 315 Berthoud Way, Golden, CO 80401-4815 | 2016-08-03 |
| 1548611627 | Rebecca Miller | Licensed Practical Nurse | 2460 W 26th Ave Ste 217, Denver, CO 80211-5308 | 2016-06-29 |
| Street Address |
1032 S BRIDGEWAY PL |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467700492 | Candice Radmall | Counselor | 1032 S Bridgeway Pl, Ste 100, Eagle, ID 83616 | 2012-08-23 |
| 1316579527 | Renae Klein | Psychiatry & Neurology | 1032 S Bridgeway Pl, Eagle, ID 83616-6099 | 2020-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514728 | Rebecca Rand Counseling LLC | Counselor | 136 S Academy Ave Ste G, Eagle, ID 83616-6541 | 2020-10-06 |
| 1124642293 | Wellspring Behavioral Health, Inc | Counselor | 1159 E Iron Eagle Dr Ste 100, Eagle, ID 83616-6868 | 2020-06-03 |
| 1043859291 | Megan Koehler | Counselor | 507 S Fitness Pl Ste 110, Eagle, ID 83616-6552 | 2020-01-04 |
| 1821653825 | Lauren Lyn Ruhl | Counselor | 360 Eby Creek Road, Eagle, CO 81631 | 2019-05-06 |
| 1134626401 | Dawn Allison Nichols | Counselor | 137 Howard, Eagle, CO 81631 | 2018-04-12 |
| 1750886776 | Daniel Israel | Counselor | 137 Howard St., Eagle, CO 81631 | 2018-03-30 |
| 1467700492 | Candice Radmall | Counselor | 1032 S Bridgeway Pl, Ste 100, Eagle, ID 83616 | 2012-08-23 |
| 1902073703 | Jamie Marie Moline | Counselor | 1431 Kaila Dr, Eagle, NE 68347-1851 | 2008-05-12 |
| 1437281755 | Austin M Reed | Counselor | 593 E State St, Eagle, ID 83616-5938 | 2007-03-12 |
| 1205978095 | Carol Pangburn | Counselor | 3042 S Whitepost Way, Eagle, ID 83616-6461 | 2007-02-12 |
| Find all providers in EAGLE | ||||
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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.