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

Mrs. Dominique Miller

Individual provider Mental Health Counselor · NPI 1780430090

Mrs. Dominique Miller is a Mental Health Counselor in Elma, Washington. Qualified in 2014, 12 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2024

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 1387
Elma, WA 98541-1387
Phone: (407) 630-2523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH61518363 (WA)

Record details

NPI number1780430090
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2024
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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