MS. MARY ELLEN MILLER L.P.C.
NPI 1770659815
Counselor - Professional in Madison, WI

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
702 N BLACKHAWK AVE, SUITE205, MADISON, WI 53705(608) 233-3037(608) 233-5893 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Mary Ellen Miller L.p.c. NPPES

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

MS. MARY ELLEN MILLER L.P.C. (NPI 1770659815) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (2321-125) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1770659815
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. MARY ELLEN MILLERCredential: L.P.C.
Location Address702 N BLACKHAWK AVE, SUITE205Madison, WI 53705-3357
Mailing AddressW10445 State Road 16 Lot 21Portage, WI 53901-9488 · (608) 617-8419
Fax(608) 233-5893
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1770659815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 2321-125
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2321-125 (WI)
702 N BLACKHAWK AVE, Madison, WI 53705

Other Identifiers 2

Medicaid39206700WI
MedicaidK401105626WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Mary Ellen Miller L.p.c. 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 ID5698902666
PECOS Enrollment IDI20240522000655
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 Mary Miller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
W10445 STATE ROAD 16 LOT 21
Portage, WI 53901
  • Reassigned Medicare billing, Wisconsin enrollment
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, Wisconsin enrollment
  • 26 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 20

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

Psychologist (Clinical)
702 N BLACKHAWK AVE, SUITE 100
MADISON, WI 53705
Counselor (Professional)
702 N BLACKHAWK AVE
MADISON, WI 53705
Social Worker (Clinical)
702 N BLACKHAWK AVE
MADISON, WI 53705
Psychiatry & Neurology (Child & Adolescent Psychiatry)
702 N BLACKHAWK AVE, SUITE 100
MADISON, WI 53705
Counselor (Mental Health)
702 N BLACKHAWK AVE, SUITE 205
MADISON, WI 53705
Marriage & Family Therapist
702 N BLACKHAWK AVE, SUITE 200
MADISON, WI 53705
Social Worker (Clinical)
702 N BLACKHAWK AVE
MADISON, WI 53705
Psychologist (Clinical)
702 N BLACKHAWK AVE, SUITE 100
MADISON, WI 53705

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 Mary Miller's NPI number?

The NPI number for Mary Miller is 1770659815. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Mary Miller located?

Mary Miller practices at 702 N Blackhawk Ave Suite205, Madison, WI 53705. The listed phone number is (608) 233-3037.

What is Mary Miller's specialty?

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

Is Mary Miller enrolled in Medicare?

Yes. Mary 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 Mary Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Miller reassigns Medicare benefits to 2 organizations: Mary Ellen Miller, Ms, Lpc, LLC (Portage, WI) and Talkspace Provider Network PA (New York, NY). 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 Mary Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Miller accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare), Medica and UnitedHealthcare list Mary 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 Mary Miller was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.