LEISHA MILLER MS
NPI 1740603356
Counselor - Mental Health in Roseburg, OR

Q: What is Leisha Miller's NPI number?

The NPI number for Leisha Miller is 1740603356. It was assigned to this individual provider in the NPPES registry on February 3, 2014.

Q: What is Leisha Miller's specialty?

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

Q: Is Leisha Miller enrolled in Medicare?

No. Leisha Miller has opted out of Medicare through April 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Leisha Miller was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 03, 2014Opted out of Medicare · through Apr 2, 2027

2700 STEWART PARKWAY, ANNEX B, ROSEBURG, OR 97471(541) 440-3532(541) 440-3554 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Leisha Miller Ms NPPES

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

LEISHA MILLER MS (NPI 1740603356) is an individual mental health provider in Roseburg, Oregon and active in the NPI registry since February 2014. She has opted out of Medicare through April 2, 2027.

NPPES Registry Identity

NPI1740603356

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLEISHA MILLERCredential: MS

Location Address2700 STEWART PARKWAY, ANNEX BRoseburg, OR 97471

Mailing Address272 Medical Loop, Suite ERoseburg, OR 97471 · (541) 440-3532 · Fax (541) 440-3554

Phone(541) 440-3532

Fax(541) 440-3554

Sole ProprietorNo

Enumeration DateFebruary 3, 2014

Last NPPES UpdateDecember 22, 2021

NPPES CertifiedDecember 22, 2021

✔ NPI 1740603356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselorTaxonomy 101Y00000X

2700 STEWART PARKWAY, Roseburg, OR 97471

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Other Identifiers 1

Medicaid500668222OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Leisha Miller Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2025 through April 2, 2027.

Opt-Out Effective DateApril 2, 2025

Opt-Out In Effect ThroughApril 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

TAWNIE GOETZ-KENNEDY

Community Health Worker