Sandra Miller, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

170572 Issued in OH

Practice address

2231 N Taylor Rd
Cleveland Heights, OH 44112-3044

Phone

(440) 796-6696

NPI assigned

Jan 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jordan Community Residential

  • Mental Health Counselor
  • Willoughby, OH
  • NPI 1467098822
  NPD (past)
• Jordan Community Residential Center

  • Addiction (Substance Use Disorder) Psychologist
  • Willoughby, OH
  • NPI 1164068524

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1053942722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 RED OAK DR",
            "city": "PERRY",
            "state": "OH",
            "postal_code": "440819400",
            "telephone_number": "440-796-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 N TAYLOR RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441123044",
            "telephone_number": "440-796-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SANDRA",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "170572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Smiller@jordan4change.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2231 N Taylor Rd",
            "city": "Cleveland Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441123044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Smiller@jordan4change.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2231 N Taylor Rd",
            "city": "Cleveland Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441123044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Smiller@jordan4change.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2231 N Taylor Rd",
            "city": "Cleveland Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441123044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Smiller@jordan4change.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2231 N Taylor Rd",
            "city": "Cleveland Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441123044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charlotte Buck Miller, MD
• Colin Miller, ND
• Eric Miller, PHARMD
• Holly Rae Miller, PHARMD
• Michael A Miller, LPCC
• Peter Milota, LISW
• Mind Trek Counseling LLC
• Floro Deo Miraldi, MD
• Abigail Mary Mitchell, MA
• Clarence Mitchell

• Addiction (Substance Use Disorder) Counselor in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.