MRS. PATRICIA ANN MILLER (NPI# 1245581271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245581271 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA ANN MILLER |
| Credential | LCPC, LMHC, CCMHC |
| Practice Address |
5030 38th Ave Ste. 18 Moline IL 61265-6717 |
| Mailing Address |
4350 7th Street Ste. E Moline IL 61265 |
| Practice Telephone | 3095171179 |
| Mailing Telephone | 3097645040 |
| Mailing Fax Number | 3097649001 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2017-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
69996 | SC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.006915 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
001371 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812185 | Patricia Miller | Technician | 2601 Locust Grove Rd, Moatsville, WV 26405-8526 | 2020-08-19 |
| 1417579913 | Patricia Lillian Miller | Counselor | 36809 N Dream St, Carefree, AZ 85377 | 2020-05-07 |
| 1558910174 | Patricia G Miller | Technician | 9232 Jena Rd, Spring Hill, FL 34608-4768 | 2019-09-06 |
| 1043787385 | Patricia Miller | Counselor | 85 S Ocoee St, Cleveland, TN 37311-5944 | 2018-10-24 |
| 1861913485 | Patricia Kay Miller | Speech-Language Pathologist | 1631 Cherry Hills Ln, Castle Rock, CO 80104-3222 | 2017-07-05 |
| 1801211735 | Patricia Miller | Occupational Therapy Assistant | 111 Humphrey Ln, West Springfield, MA 01089-2215 | 2014-03-01 |
| 1659795201 | Patricia Miller | Counselor | 2937 S Melbourne St, Salt Lake City, UT 84106-4064 | 2014-02-18 |
| 1902227911 | Patricia Ann Miller | Counselor | 4218 Western Ave, South Bend, IN 46619 | 2013-12-17 |
| 1033551197 | Patricia Ann Miller | Licensed Practical Nurse | 1310 Blossom Ct, Cheyenne, WY 82007-3317 | 2013-07-17 |
| 1376892661 | Patricia Miller | Licensed Practical Nurse | 1415 Linden Blvd, Apt 5b, Brooklyn, NY 11212-5156 | 2012-09-03 |
| Street Address |
5030 38TH AVE STE. 18 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881966042 | Troy Roeder Dds PC | Dentist | 5030 38th Ave, Suite 1, Moline, IL 61265-6717 | 2012-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356796189 | Kathiana Edouard | Counselor | 2424 40th Ave Apt 5, Moline, IL 61265-7215 | 2016-04-29 |
| 1245632645 | Andrew D Olson Sr. | Counselor | 828 16th Ave, Moline, IL 61265-3807 | 2014-09-17 |
| 1710239793 | Monarch Trauma Counseling Center | Counselor | 1630 5th Ave, Suite 429, Moline, IL 61265-7914 | 2012-10-15 |
| 1619516218 | Jenifer Regennitter | Counselor | 4600 3rd St, Moline, IL 61265-6106 | 2019-12-30 |
| 1538701164 | Rachel Baraks | Counselor | 1830 6th Ave, Moline, IL 61265-2105 | 2019-10-15 |
| 1528626207 | Taffy A. Gaston | Counselor | 2424 40th Ave Apt 5, Moline, IL 61265-7215 | 2019-05-29 |
| 1346740172 | Jessica A Bartz | Counselor | 2424 40th Ave Apt 5, Moline, IL 61265-7215 | 2018-02-19 |
| 1043719578 | Malkema Toure' Martin | Counselor | 2424 40th Ave Apt 5, Moline, IL 61265-7215 | 2018-02-10 |
| 1841747367 | Erica Willits | Counselor | 4600 3rd St, Moline, IL 61265 | 2016-09-01 |
| 1437603123 | Erin Leigh Petree | Counselor | 2200 52nd Ave, Moline, IL 61265-6308 | 2016-08-10 |
| Find all providers in MOLINE | ||||
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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.