Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annelise Nystrom Miller

Individual provider Mental Health Counselor · NPI 1871116400

Annelise Nystrom Miller is a Marriage and Family Therapist in Lafayette, California. Qualified in 2018, 8 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth.

Years since qualifying
8
In the registry since
2020
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Practice location Address checks out

3468 Mt Diablo Blvd Ste B201
Lafayette, CA 94549-3959
Phone: (925) 284-2298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1871116400
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2020
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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