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JESSIE ANNA MILLER LCSW
NPI 1700547148
Social Worker - Clinical in Peoria, IL

Active since January 07, 2022PECOS Enrolled
6615 N BIG HOLLOW RD, PEORIA, IL 61615(309) 692-6622(309) 692-6952 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2024, Jan 7, 2022 (2 updates tracked since 2022).

About Jessie Anna Miller Lcsw NPPES

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

JESSIE ANNA MILLER LCSW (NPI 1700547148) is an individual clinical provider in Peoria, Illinois, licensed in Illinois (149.024080) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1700547148
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSIE ANNA MILLERCredential: LCSW
Location Address6615 N BIG HOLLOW RDPeoria, IL 61615-2450
Mailing Address6615 N Big Hollow RdPeoria, IL 61615-2450 · (309) 692-6622 · Fax (309) 692-6952
Phone(309) 692-6622
Fax(309) 692-6952
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 7, 2022
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1700547148 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 IL · 149.024080
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.
6615 N BIG HOLLOW RD, Peoria, IL 61615
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID143709956
PECOS Enrollment IDI20260211000893
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 Jessie Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Antioch Group, Inc.
Same address
Psychologist
6615 N. BIG HOLLOW RD.
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 12 clinicians in this Medicare group
NPI 1801993142 (309) 692-6622

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 61615 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

KEVIN SISCOE LCPC
Counselor (Professional)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
MRS. MICHELLE SUE BAKER LCPC CADC
Counselor
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
STEPHANIE SEIDL MA
Counselor (Mental Health)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
MICHELLE QUINN
Counselor (Mental Health)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
MS. DONNA SUE WASSON M.A., L.C.P.C., NCC
Counselor (Professional)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
CLAIRE LEECH
Counselor (Mental Health)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
TIFFANY JORDAN LCPC
Counselor
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
STEVEN ALLEN HAMON PHD
Psychologist
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622

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 Jessie Miller's NPI number?

The NPI number for Jessie Miller is 1700547148. It was assigned to this individual provider in the NPPES registry on January 7, 2022.

Where is Jessie Miller located?

Jessie Miller practices at 6615 N Big Hollow Rd, Peoria, IL 61615. The listed phone number is (309) 692-6622.

What is Jessie Miller's specialty?

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

Is Jessie Miller enrolled in Medicare?

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

Which organization bills Medicare for Jessie Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Miller reassigns Medicare benefits to The Antioch Group, Inc. (Peoria, IL). 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 Jessie Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessie Miller was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.