MR. DUDLEY BYRON MILLER (NPI# 1912004169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912004169 |
| Entity Type | Individual |
| Full Name | MR. DUDLEY BYRON MILLER |
| Credential | M.DIV. |
| Practice Address |
1309 114th Ave Se Suite 316 Bellevue WA 98004-6903 |
| Practice Telephone | 2068989029 |
| Practice Fax Number | 4254622966 |
| Mailing Telephone | 2068989029 |
| Mailing Fax Number | 4254622966 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | RC00000819 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1309 114TH AVE SE SUITE 316 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-6903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235305335 | Kelli Lynn Stueckle Friedlander | Counselor | 1309 114th Ave Se, Ste 316, Bellevue, WA 98004-6903 | 2008-05-08 |
| 1184843575 | Kathleen C Miller | Marriage & Family Therapist | 1309 114th Ave Se, Suite 316, Bellevue, WA 98004-6903 | 2007-04-24 |
| 1760601223 | Maitri Institute, Pllc | Marriage & Family Therapist | 1309 114th Ave Se, Suite 210, Bellevue, WA 98004-6903 | 2007-04-24 |
| 1801939129 | Deborah Sue Haynes | Psychiatry & Neurology | 1309 114th Ave Se, 316, Bellevue, WA 98004-6903 | 2007-02-15 |
| 1477639805 | Mollie Campbell Lentz | Marriage & Family Therapist | 1309 114th Ave Se, Suite 316, Bellevue, WA 98004-6903 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| 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 |
|---|---|---|---|---|
| 1346854148 | Justin Darrell Preston Jones | Counselor | 205 169th Ave Ne, Bellevue, WA 98008-4523 | 2020-08-31 |
| 1114530854 | Ju-pei Yao | Counselor | 10047 Main St Apt 514, Bellevue, WA 98004-5319 | 2020-08-24 |
| 1912529371 | Kristina Pass | Counselor | 14933 Se 45th Pl, Bellevue, WA 98006-2402 | 2020-05-08 |
| 1124640644 | Amy Rose Korotkin | Counselor | 4205 94th Ave Ne, Bellevue, WA 98004-1317 | 2020-05-07 |
| 1023650538 | Sarah Mcdermott | Counselor | 733 N Main St Ste C, Bellevue, ID 83313-6068 | 2019-10-16 |
| 1386292944 | Trinidad Soza | Counselor | 999 164th Ave Ne # 5862338, Bellevue, WA 98008-3518 | 2019-08-27 |
| 1083197776 | Erich Flaker | Counselor | 13343 Ne Bel Red Rd, Bellevue, WA 98005-2274 | 2018-09-10 |
| 1063960292 | Paul Oguna Ajuoga | Counselor | 202 Galvin Rd N Apt 5, Bellevue, NE 68005-4840 | 2016-09-16 |
| 1902296528 | Alex Gomez | Counselor | 826 102nd Ave Ne Ste 300, Bellevue, WA 98004-4158 | 2015-02-03 |
| 1447651104 | Keunhee (casey) Kim | Counselor | 13400 Ne 20th St Ste B-47, Bellevue, WA 98005-2099 | 2014-09-11 |
| Find all providers in BELLEVUE | ||||
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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.