Individual provider Active NPI

Charline Zimmerman Miller, LPCC-SUPV

  • Professional Counselor
  • Cleveland Heights, OH
National Provider Identifier
1063797306
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0001222-SUPV Issued in OH
Practice address
1793 Middlehurst Rd
Cleveland Heights, OH 44118-1647
Phone
(216) 321-8347
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0001222-SUPV OH Primary

Addresses

Primary practice location

1793 Middlehurst Rd
Cleveland Heights, OH 44118-1647

Mailing address

1793 Middlehurst Rd
Cleveland Heights, OH 44118-1647
Phone (216) 321-8347

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E0001222-SUPVOHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1063797306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 MIDDLEHURST RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181647",
            "telephone_number": "216-321-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1793 MIDDLEHURST RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181647",
            "telephone_number": "216-321-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHARLINE",
        "middle_name": "ZIMMERMAN",
        "name_prefix": "Ms.",
        "credential": "LPCC-SUPV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0001222-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.