MS. KELLEY NOELLE MILLER
NPI 1699114207
Counselor - Professional in Waterford, MI

Active since June 17, 2013PECOS EnrolledAccepts Medicare Assignment
4676 RIVERVIEW DR, WATERFORD, MI 48329(248) 762-7389 Get Directions Write a Review

NPPES record last updated: June 17, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Kelley Noelle Miller NPPES

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

MS. KELLEY NOELLE MILLER (NPI 1699114207) is an individual professional provider in Waterford, Michigan, licensed in Michigan (L2437424) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1699114207
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KELLEY NOELLE MILLER
Location Address4676 RIVERVIEW DRWaterford, MI 48329-3764
Mailing Address4676 Riverview DrWaterford, MI 48329-3764 · (248) 762-7389
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 17, 2013
✔ NPI 1699114207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · L2437424
4676 RIVERVIEW DR, Waterford, MI 48329

Other Identifiers 1

Other6401013280MI · Llpc

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

Ms. Kelley Noelle Miller 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 ID6406293604
PECOS Enrollment IDI20240323000372
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 Reassignments

2

Medicare enrollment records show Kelley Miller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
4410 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 16 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
43740 N GROESBECK HWY
Clinton Twp, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 120 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.

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 Kelley Miller's NPI number?

The NPI number for Kelley Miller is 1699114207. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Where is Kelley Miller located?

Kelley Miller practices at 4676 Riverview Dr, Waterford, MI 48329. The listed phone number is (248) 762-7389.

What is Kelley Miller's specialty?

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

Is Kelley Miller enrolled in Medicare?

Yes. Kelley 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 organizations bill Medicare for Kelley Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Miller reassigns Medicare benefits to 2 organizations: Judson Center, Inc. (Royal Oak, MI) and County Of Macomb (Clinton Twp, MI). Each 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 Kelley Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelley Miller accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Kelley 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 Kelley Miller was last updated on June 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.