MR. MARK JAY MILLER (NPI# 1972758753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972758753 |
| Entity Type | Individual |
| Full Name | MR. MARK JAY MILLER |
| Credential | LCSW |
| Practice Address |
3003 Willamette St Eugene OR 97405-3241 |
| Mailing Address |
396 Dellwood Dr Eugene OR 97405-2069 |
| Practice Telephone | 5417294074 |
| Mailing Telephone | 5417294074 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | L002041 | OR | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
L002041 | OR | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
L002041 | OR | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L002041 | OR | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | L002041 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932731692 | Mark A Miller | Pharmacist | 5431 Sw 35th Dr Ste 200, Gainesville, FL 32608-5277 | 2020-02-10 |
| 1386111250 | Mark Miller | Counselor | 3605 Calumet St, Philadelphia, PA 19129-1603 | 2018-10-30 |
| 1386124873 | Mark E Miller | Dentist | 558 E Bay Ave, Manahawkin, NJ 08050-3340 | 2018-08-15 |
| 1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
| 1801264148 | Mark J Miller | Counselor | 4141 Highway 11, Rising Fawn, GA 30738-4633 | 2015-09-03 |
| 1427317197 | Mark Anthony Miller | Physical Therapist | 537 West Main St, Brewster, WA 98812-1200 | 2012-05-15 |
| 1790044428 | Mark Ian Miller | Student in an Organized Health Care Education/Training Program | 843 S Sierra Bonita Ave, Los Angeles, CA 90036-4703 | 2012-05-15 |
| 1023384989 | Mark H Miller | Internal Medicine | 6318 17th Ave Ne, Seattle, WA 98115-6809 | 2012-03-26 |
| 1649578816 | Mark A Miller | Pharmacist | 8 Elk Plz, Elkview, WV 25071-9602 | 2011-03-11 |
| 1538399753 | Mark E Miller | Social Worker | 645 S 5th St, Montrose, CO 81401-5710 | 2009-07-22 |
| Street Address |
3003 WILLAMETTE ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295717304 | Gail Linda Keller | Counselor | 3003 Willamette St, Eugene, OR 97405-3241 | 2005-11-15 |
| 1083008064 | Craig Steinberg, Ph.d., LLC | Psychologist | 3003 Willamette St, Suite 5, Eugene, OR 97405-3241 | 2015-03-27 |
| 1417277039 | Sharon Kathleen Guinee | Social Worker | 3003 Willamette St, Eugene, OR 97405-3241 | 2010-06-04 |
| 1528217031 | Matthew Macleod Orbell | Psychologist | 3003 Willamette St, Eugene, OR 97405-3241 | 2008-09-09 |
| 1801094289 | Anita Joan Runyan | Psychologist | 3003 Willamette St, Suite F, Eugene, OR 97405-3295 | 2007-07-06 |
| 1346454519 | Susan Callow Moseley | Psychologist | 3003 Willamette St, Suite C, Eugene, OR 97405-3241 | 2007-05-09 |
| 1518170760 | Alison Prescott | Psychologist | 3003 Willamette St, Eugene, OR 97405-3241 | 2007-05-07 |
| 1235259425 | Daniels, Miller & Associates, Ltd | Social Worker | 3003 Willamette St, Suite 10, Eugene, OR 97405-3241 | 2007-03-30 |
| 1295862373 | Victoria Diane Mcmillan | Social Worker | 3003 Willamette St, Eugene, OR 97405-3241 | 2007-02-27 |
| 1932275179 | Craig B Steinberg | Psychologist | 3003 Willamette St, #4, Eugene, OR 97405-3241 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961755 | Audrey Schwartz, Lcsw, Lcc | Social Worker | 1518 W 25th Ave, Eugene, OR 97405-1817 | 2020-10-27 |
| 1164021044 | Frederick Dygert, Lcsw | Social Worker | 1445 Willamette St Ste 2b, Eugene, OR 97401-4087 | 2020-10-21 |
| 1699391821 | Nishant Kamthan | Social Worker | 211 E 7th Ave Rm 274, Eugene, OR 97401-2773 | 2020-06-23 |
| 1447889266 | Art of Self | Social Worker | 1075 Washington St Ste 110, Eugene, OR 97401-3689 | 2020-04-03 |
| 1558994335 | Kellie Kreitzberg, Lcsw LLC | Social Worker | 374 W 12th Ave Ste 2, Eugene, OR 97401-3449 | 2020-02-19 |
| 1316570682 | Megan Turner, Lcsw | Social Worker | 1075 Washington St Ste 120, Eugene, OR 97401-3689 | 2020-02-14 |
| 1962041889 | Geomancie Promise LLC With Hellinger Systemic Constellations | Social Worker | 2111 Lorane Hwy, Eugene, OR 97405-1773 | 2019-12-23 |
| 1639728017 | L Anderson Freck, Lcsw, LLC | Social Worker | 374 W 12th Ave, Eugene, OR 97401-3449 | 2019-09-08 |
| 1336794957 | Jamyn Gavello | Social Worker | 151 W 7th Ave Ste 190, Eugene, OR 97401-2676 | 2019-08-09 |
| 1215597034 | Megan Olds | Social Worker | 541 Willamette St Ste 208e, Eugene, OR 97401-2608 | 2019-06-14 |
| Find all providers in EUGENE | ||||
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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.