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JACK PHILIP MILLER
NPI 1528587680
Counselor - Mental Health in Fort Wayne, IN

Active since September 11, 2017
909 E STATE BLVD, FORT WAYNE, IN 46805(260) 482-9125 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Philip Miller NPPES

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

JACK PHILIP MILLER (NPI 1528587680) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1528587680
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACK PHILIP MILLER
Location Address909 E STATE BLVDFort Wayne, IN 46805-3404
Mailing Address909 E State BlvdFort Wayne, IN 46805-3404
Phone(260) 482-9125
Sole ProprietorNo
Enumeration DateSeptember 11, 2017
✔ NPI 1528587680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
909 E STATE BLVD, Fort Wayne, IN 46805
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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.

COURTNEY LESLEY WASHINGTON
Counselor
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
JENNIFER PERRY MS
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MICHELLE ELISE WIESE MD
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
SARAH MICHELLE MOORE APRN-CNM, PMHNP-BC
Nurse Practitioner
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
JULIE NAY WINN BS
Case Manager/Care Coordinator
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
TONYA J EIDEN LMHC, MS
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
ANGELA C DESPENZA LPN
Licensed Practical Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MEGAN I FIGUEROA RN
Registered Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700

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 Jack Miller's NPI number?

The NPI number for Jack Miller is 1528587680. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Jack Miller located?

Jack Miller practices at 909 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 482-9125.

What is Jack Miller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jack Miller was last updated on September 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.