KELLY JO MILLER LCSW
NPI 1619755469
Social Worker - Clinical in League City, TX

Q: What is Kelly Miller's NPI number?

The NPI number for Kelly Miller is 1619755469. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Q: What is Kelly Miller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Miller was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 21, 2023PECOS Enrolled

4444 W MAIN ST, LEAGUE CITY, TX 77573(409) 763-2373(409) 978-2401 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kelly Jo Miller Lcsw NPPES

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

KELLY JO MILLER LCSW (NPI 1619755469) is an individual clinical provider in League City, Texas, licensed in Texas (110218) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1619755469

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY JO MILLERCredential: LCSW

Location Address4444 W MAIN STLeague City, TX 77573-1737

Mailing Address4444 W Main StLeague City, TX 77573-1737 · (409) 763-2373 · Fax (409) 978-2401

Phone(409) 763-2373

Fax(409) 978-2401

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 21, 2023

Last NPPES UpdateFebruary 5, 2026

NPPES CertifiedFebruary 5, 2026

✔ NPI 1619755469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · 110218

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.

4444 W MAIN ST, League City, TX 77573

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Jo Miller Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416438940

PECOS Enrollment IDI20260223003880

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

The Gulf Coast Center

Same address

Psychiatry

4444 W MAIN ST
League City, TX 77573

Reassigned Medicare billing, Texas enrollment
115 clinicians in this Medicare group

NPI 1245285899 (409) 763-2373

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 77573 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 $57.19 – $173.07

Typical copayment $0.00 (range $14.29 – $43.26)

Most-billed visit code NA

Established Patient

$71.32 typical visit price

range $18.45 – $141.36

Typical copayment $17.83 (range $4.61 – $35.34)

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 20

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

COURTNEY RENEE TRINIDAD LCDC

Counselor (Addiction (Substance Use Disorder))