Individual provider Active NPI

Johanna Erin Miller, M.A., PCC

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1043426448
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0004191 Issued in OH
Practice address
3593 S Arlington Rd
Akron, OH 44312-5271
Phone
(330) 417-0606
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0004191 OH Primary

Addresses

Primary practice location

3593 S Arlington Rd
Akron, OH 44312-5271

Mailing address

274 Oak Dr NW
North Canton, OH 44720-5327
Phone (330) 966-0362

Other practice location 1

274 Oak Dr NW
North Canton, OH 44720-5327
Phone (330) 417-0606

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmiller@jmillertherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621001343 OH Practitioner - Mental Health Counselor 5991135667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

274 Oak Dr NW
North Canton, OH 44720-5327
Phone (330) 417-0606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E.0004191OHMDMental Health Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1043426448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 OAK DR NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447205327",
            "telephone_number": "330-966-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3593 S ARLINGTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125271",
            "telephone_number": "330-417-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "274 Oak Dr NW",
            "address_purpose": "LOCATION",
            "city": "North Canton",
            "state": "OH",
            "postal_code": "447205327",
            "country_code": "US",
            "telephone_number": "330-417-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHANNA",
        "middle_name": "ERIN",
        "credential": "M.A., PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0004191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmiller@jmillertherapy.com",
            "affiliation": "N",
            "address_1": "274 Oak Dr NW",
            "city": "North Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447205327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.