Individual provider Active NPI

Jeffrey Lee Miller, MS, LCMC, LMHC, CAP

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1053652149
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11687 Issued in FL
Practice address
1241 Columbus Cir Apt a
Wilmington, NC 28403
Phone
(239) 248-2734
NPI assigned
Mar 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 5430 FL
Professional Counselor 101YP2500X 14163 NC
Mental Health Counselor 101YM0800X MH11687 FL Primary

Addresses

Primary practice location

1241 Columbus Cir Apt a
Wilmington, NC 28403

Mailing address

122 Burke CT Apt 306
Hampstead, NC 28443-0479
Phone (910) 386-8848

Other practice location 1

5013 Wrightsville Ave
Wilmington, NC 28403-7045
Phone (910) 796-6868

Other practice location 2

3050 Horseshoe Dr N
Suite 150
Naples, FL 34104-7911
Phone (239) 331-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CAP 5430FLMDAddiction (Substance Use Disorder) Counselor
14163NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Resolve Community Counseling of Collier County LLC Past Accepting new patients

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": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1053652149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BURKE CT APT 306",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284430479",
            "telephone_number": "910-386-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 COLUMBUS CIR APT A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "239-248-2734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5013 Wrightsville Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284037045",
            "country_code": "US",
            "telephone_number": "910-796-6868",
            "fax_number": "910-796-6869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 Horseshoe Dr N",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341047911",
            "country_code": "US",
            "telephone_number": "239-331-4774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "credential": "MS, LCMC, LMHC, CAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-14",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 5430",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "14163",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.