FAWN GABRIELLE MILLER (LMFT, APCC) – Marriage & Family Therapist, NPI 1780135251
Marriage & Family Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,003 MARRIAGE AND FAMILY THERAPIST in MN
Provider Addresses for FAWN GABRIELLE MILLER (LMFT, APCC)
150 S 5TH ST STE 825
MINNEAPOLIS, MN 554024200
Phone: (877) 441-0121
Type: Location
921 S Beacon St
San Pedro, CA 907313740
Phone: (310) 547-3341
Type: Location
4281 Katella Ave
Los Alamitos, CA 907203500
Phone: (330) 354-3505
Type: Location
54866, Pine Crest Avenue, Idyllwild, Riverside County, California, 92549, United States
STE 1910
IDYLLWILD, CA 92549
Phone: (330) 354-3505
Type: Mailing
Katella Avenue, Los Alamitos, Orange County, California, 90702, United States
LOS ALAMITOS, CA 907203500
Phone: (330) 354-3505
Type: Location
PO BOX 1910
IDYLLWILD, CA 925491910
Phone: (915) 259-3810
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-05
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251028004684 | I | Marriage And Family Therapist | CA | TBD |
| I20251205000819 | I | Marriage And Family Therapist | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| Clinical Social Worker | NV | |
| Mental Health Counselor | CA | |
| Clinical Social Worker | MS | |
| Clinical Social Worker | CA | |
| - | CA | |
| Clinical Psychologist | CT | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | CA |
Reviews
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