DEMETRIUS MILLER AMFT
NPI 1043871122
Marriage & Family Therapist in North Hollywood, CA

Active since June 27, 2019PECOS Enrolled
6736 LAUREL CANYON BLVD STE 200, NORTH HOLLYWOOD, CA 91606(818) 755-8786 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2021, Jan 6, 2021, Dec 1, 2020 and 2 more (5 updates tracked since 2019).

About Demetrius Miller Amft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIUS MILLER AMFT (NPI 1043871122) is an individual marriage & family therapist in North Hollywood, California, licensed in California (AMFT116608) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043871122
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDEMETRIUS MILLERCredential: AMFT
Location Address6736 LAUREL CANYON BLVD STE 200North Hollywood, CA 91606-1576
Mailing Address6736 Laurel Canyon Blvd Ste 200North Hollywood, CA 91606-1576 · (818) 755-8786
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 27, 2019
Last NPPES UpdateDecember 30, 20215 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
✔ NPI 1043871122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · AMFT116608
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
6736 LAUREL CANYON BLVD STE 200, North Hollywood, CA 91606

Secondary Practice Location 1

Location 16762 Lexington AveLos Angeles, CA 90038-1217 · Phone (323) 380-7590

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Demetrius Miller Amft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870081276
PECOS Enrollment IDI20251017003850
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Demetrius Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1041 E YORBA LINDA BLVD STE 202
Placentia, CA 92870
  • Reassigned Medicare billing, California enrollment
  • 150 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA 91606
Student in an Organized Health Care Education/Training Program
6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA 91606
Day Training/Habilitation Specialist
6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA 91606
Case Manager/Care Coordinator
6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA 91606
Marriage & Family Therapist
6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA 91606
Case Manager/Care Coordinator
6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA 91606
Day Training/Habilitation Specialist
6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA 91606
Marriage & Family Therapist
6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD, CA 91606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetrius Miller's NPI number?

The NPI number for Demetrius Miller is 1043871122. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Demetrius Miller located?

Demetrius Miller practices at 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606. The listed phone number is (818) 755-8786.

What is Demetrius Miller's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Demetrius Miller enrolled in Medicare?

Yes. Demetrius Miller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Demetrius Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Demetrius Miller reassigns Medicare benefits to Forward Wellness Family Therapy, Inc. (Placentia, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Demetrius Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Demetrius Miller was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.