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MR. MICHAEL S. MILLER LPC
NPI 1396998605
Counselor - Professional in Wynne, AR

Active since October 30, 2008PECOS Enrolled
204 MISSISSIPPI ST S, WYNNE, AR 72396(870) 208-8499 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Michael S. Miller Lpc NPPES

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

MR. MICHAEL S. MILLER LPC (NPI 1396998605) is an individual professional provider in Wynne, Arkansas, licensed in Arkansas (P1412114) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in North Little Rock.

NPPES Registry Identity

NPI1396998605
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MICHAEL S. MILLERCredential: LPC
Location Address204 MISSISSIPPI ST SWynne, AR 72396-3025
Mailing Address6462 Crossbrook Ln Apt 5Memphis, TN 38134-7896 · (501) 519-2482
Phone(870) 208-8499
Sole ProprietorNo
Enumeration DateOctober 30, 2008
Last NPPES UpdateApril 20, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1396998605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P1412114
Also ListedPharmacy TechnicianTaxonomy 183700000X
204 MISSISSIPPI ST S, Wynne, AR 72396
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Secondary Practice Location 1

Location 15029 Fleming LnNorth Little Rock, AR 72117-1951 · Phone (501) 257-6338

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael S. Miller Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michael Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Changes Behavioral Health, LLC
Same address
Community/Behavioral Health
204 MISSISSIPPI ST S
Wynne, AR 72396
  • Reassigned Medicare billing, Arkansas enrollment
  • 26 clinicians in this Medicare group
NPI 1114260486 (870) 208-8499

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.

KRISTIN HALLMARK
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
KAYLA GATES
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
ALLIE TRAIL
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
CHANGES BEHAVIORAL HEALTH, LLC
Community/Behavioral Health
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
RYLEE RATTON LCSW
Social Worker (Clinical)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
TABATHA BRADLEY LAC
Counselor (Professional)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
LISA TURNER
Counselor (Mental Health)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
LESLIE D TINZIE
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499

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 Michael Miller's NPI number?

The NPI number for Michael Miller is 1396998605. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Where is Michael Miller located?

Michael Miller practices at 204 Mississippi St S, Wynne, AR 72396. The listed phone number is (870) 208-8499.

What is Michael Miller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Michael Miller enrolled in Medicare?

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

Which organization bills Medicare for Michael Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Miller reassigns Medicare benefits to Changes Behavioral Health, LLC (Wynne, AR). 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 Michael Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Miller accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Michael 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 Michael Miller was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.