AMANDA JANE MILLER LLP
NPI 1407349269
Psychologist in Grand Rapids, MI

Active since June 07, 2018
3225 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(163) 641-5006 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2021, Oct 24, 2018 (2 updates tracked since 2018).

About Amanda Jane Miller Llp NPPES

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

AMANDA JANE MILLER LLP (NPI 1407349269) is an individual psychologist in Grand Rapids, Michigan, licensed in Michigan (6361006485) and active in the NPI registry since June 2018. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1407349269
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameAMANDA JANE MILLERCredential: LLP
Location Address3225 N EVERGREEN DR NEGrand Rapids, MI 49525-9334
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 7, 2018
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1407349269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MI · 6361006485
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X · License 6301016613 (MI)
3225 N EVERGREEN DR NE, Grand Rapids, MI 49525

Other Names 1

Former Name (1)Amanda Jane Smith

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Jane Miller Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446755615
PECOS Enrollment IDI20250926003447

Medicare Billing Reassignment

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

Psychologist
5005 PLAINFIELD AVE NE STE 100
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment

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.

Social Worker (Clinical)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Counselor (Professional)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Counselor (Professional)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Physician Assistant
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Social Worker
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
3225 N EVERGREEN DR 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 Amanda Miller's NPI number?

The NPI number for Amanda Miller is 1407349269. It was assigned to this individual provider in the NPPES registry on June 7, 2018. The provider is also known as Amanda Jane Smith.

Where is Amanda Miller located?

Amanda Miller practices at 3225 N Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (163) 641-5006.

What is Amanda Miller's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Amanda Miller enrolled in Medicare?

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

Which organization bills Medicare for Amanda Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Miller reassigns Medicare benefits to Potential LLP PLLC (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 Amanda Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Miller accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Amanda 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 Amanda Miller was last updated on April 21, 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.