Individual provider Active NPI

Anthony Maurice Miller, LPCC

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1073686986
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E 0003283 Issued in OH
Practice address
6161 Busch Blvd
Suite 101
Columbus, OH 43229-2508
Phone
(614) 440-6252
Fax
(614) 888-1260
NPI assigned
Nov 16, 2006
Last updated
Sep 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E 0003283 OH
Mental Health Counselor 101YM0800X E 0003283 OH
Professional Counselor 101YP2500X E 0003283 OH Primary

Addresses

Primary practice location

6161 Busch Blvd
Suite 101
Columbus, OH 43229-2508

Mailing address

227 Matthew Ave
Westerville, OH 43081-1806
Phone (614) 440-6252

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
E 0003283OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1073686986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MATTHEW AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811806",
            "telephone_number": "614-440-6252",
            "fax_number": "614-888-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD",
            "address_2": "SUITE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292508",
            "telephone_number": "614-440-6252",
            "fax_number": "614-888-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANTHONY",
        "middle_name": "MAURICE",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E 0003283",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E 0003283",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0003283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.