SHANNON LEIGH MILLER LMSW
NPI 1154645349
Social Worker - Clinical in Grand Rapids, MI

Active since March 17, 2010PECOS EnrolledAccepts Medicare Assignment
4701 PLAINFIELD AVE NE, SUITE C, GRAND RAPIDS, MI 49525(616) 361-3398(616) 361-3395 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Leigh Miller Lmsw NPPES

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

SHANNON LEIGH MILLER LMSW (NPI 1154645349) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801091218) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1154645349
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON LEIGH MILLERCredential: LMSW
Location Address4701 PLAINFIELD AVE NE, SUITE CGrand Rapids, MI 49525-1644
Mailing Address4701 Plainfield Ave Ne, Suite CGrand Rapids, MI 49525-1644 · (616) 361-3398 · Fax (616) 361-3395
Fax(616) 361-3395
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 17, 2010
Last NPPES UpdateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1154645349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801091218
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 6801091218 (MI)
4701 PLAINFIELD AVE NE, Grand Rapids, MI 49525

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Leigh Miller Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294275798
PECOS Enrollment IDI20240911001946
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 Shannon Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
360 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
  • Reassigned Medicare billing, Michigan enrollment
  • 287 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Psychologist (Cognitive & Behavioral)
4701 PLAINFIELD AVE NE, SUITE C
GRAND RAPIDS, MI 49525
Clinic/Center (Dental)
4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Psychologist
4701 PLAINFIELD AVE NE, SUITE C
GRAND RAPIDS, MI 49525
Counselor (Mental Health)
4701 PLAINFIELD AVE NE, SUITE C
GRAND RAPIDS, MI 49525
Dentist (General Practice)
4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Clinic/Center (Dental)
4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Psychologist
4701 PLAINFIELD AVE NE, SUITE C
GRAND RAPIDS, MI 49525
Clinic/Center (Dental)
4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525

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 Shannon Miller's NPI number?

The NPI number for Shannon Miller is 1154645349. It was assigned to this individual provider in the NPPES registry on March 17, 2010.

Where is Shannon Miller located?

Shannon Miller practices at 4701 Plainfield Ave NE Suite C, Grand Rapids, MI 49525. The listed phone number is (616) 361-3398.

What is Shannon Miller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shannon Miller enrolled in Medicare?

Yes. Shannon Miller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shannon Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Miller reassigns Medicare benefits to Counseling Center Of West Michigan, LLC (Grand Rapids, MI). 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 Shannon Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Miller accept?

Health plans from Priority Health list Shannon Miller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Miller was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.