ANNELISE NYSTROM MILLER
NPI 1871116400
Counselor - Mental Health in Lafayette, CA

Active since May 18, 2020PECOS EnrolledAccepts Medicare Assignment
3468 MT DIABLO BLVD STE B201, LAFAYETTE, CA 94549(925) 284-2298 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Annelise Nystrom Miller NPPES

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

ANNELISE NYSTROM MILLER (NPI 1871116400) is an individual mental health provider in Lafayette, California and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1871116400
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANNELISE NYSTROM MILLER
Location Address3468 MT DIABLO BLVD STE B201Lafayette, CA 94549-3959
Mailing Address3468 Mt Diablo Blvd Ste B201Lafayette, CA 94549-3959 · (925) 255-5350
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 18, 2020
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 24, 2024
NPI 1871116400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3468 MT DIABLO BLVD STE B201, Lafayette, CA 94549

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Annelise Nystrom 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 ID8224480157
PECOS Enrollment IDI20240318000604
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.

Other Providers at the Same Location NPPES 14

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

Marriage & Family Therapist
3468 MT DIABLO BLVD STE B201
LAFAYETTE, CA 94549
Marriage & Family Therapist
3468 MT DIABLO BLVD STE B201
LAFAYETTE, CA 94549
Marriage & Family Therapist
3468 MT DIABLO BLVD STE B201
LAFAYETTE, CA 94549
Marriage & Family Therapist
3468 MT DIABLO BLVD STE B201
LAFAYETTE, CA 94549
Community/Behavioral Health
3468 MT DIABLO BLVD STE B201
LAFAYETTE, CA 94549
Marriage & Family Therapist
3468 MT DIABLO BLVD STE B201
LAFAYETTE, CA 94549
Marriage & Family Therapist
3468 MT DIABLO BLVD STE B201
LAFAYETTE, CA 94549
Marriage & Family Therapist
3468 MT DIABLO BLVD STE B201
LAFAYETTE, CA 94549

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 Annelise Miller's NPI number?

The NPI number for Annelise Miller is 1871116400. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Where is Annelise Miller located?

Annelise Miller practices at 3468 Mt Diablo Blvd Ste B201, Lafayette, CA 94549. The listed phone number is (925) 284-2298.

What is Annelise Miller's specialty?

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

Is Annelise Miller enrolled in Medicare?

Yes. Annelise 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.

When was this NPI record last updated?

The NPPES record for Annelise Miller was last updated on January 29, 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.