KENNETH JOSEPH MILLER JR. LMFT
NPI 1548072069
Marriage & Family Therapist in Orange Park, FL

Active since January 22, 2025PECOS EnrolledAccepts Medicare Assignment
1532 KINGSLEY AVE STE 112-114, ORANGE PARK, FL 32073(239) 690-6906 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kenneth Joseph Miller Jr. Lmft NPPES

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

KENNETH JOSEPH MILLER JR. LMFT (NPI 1548072069) is an individual marriage & family therapist in Orange Park, Florida, licensed in Florida (MT5119) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548072069
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKENNETH JOSEPH MILLER JR.Credential: LMFT
Location Address1532 KINGSLEY AVE STE 112-114Orange Park, FL 32073-4538
Mailing Address177 Eagle Rock DrPonte Vedra, FL 32081-8394 · (904) 710-9295
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1548072069 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 FL · MT5119
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.
1532 KINGSLEY AVE STE 112-114, Orange Park, FL 32073

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

Kenneth Joseph Miller Jr. Lmft 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 ID6002346012
PECOS Enrollment IDI20250205004180
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 Kenneth Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Assisted Living Facility
1251 BUSINESS WAY
Lehigh Acres, FL 33936
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Dna Comprehensive Therapy Services LLC
  • 618 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 2

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

Counselor (Mental Health)
1532 KINGSLEY AVE STE 112-114
ORANGE PARK, FL 32073
Counselor (Mental Health)
1532 KINGSLEY AVE STE 112-114
ORANGE PARK, FL 32073

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 Kenneth Miller's NPI number?

The NPI number for Kenneth Miller is 1548072069. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Kenneth Miller located?

Kenneth Miller practices at 1532 Kingsley Ave Ste 112-114, Orange Park, FL 32073. The listed phone number is (239) 690-6906.

What is Kenneth Miller's specialty?

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

Is Kenneth Miller enrolled in Medicare?

Yes. Kenneth 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 Kenneth Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Miller reassigns Medicare benefits to Lehigh Acres Bg Opco LLC (Lehigh Acres, FL). 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 Kenneth Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Miller accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 1 other insurer list Kenneth 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 Kenneth Miller was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.