Active NPI
Jason Miller, PH.D., LPCCS
- Professional Counselor
- Stow, OH
National Provider Identifier
1104619014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0600548-SUPV
- Practice address
- 3425 Kent Rd
Stow, OH 44224-4534 - Phone
- (330) 835-7477
- NPI assigned
- May 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0600548-SUPV | OH | Primary |
Addresses
Primary practice location
3425 Kent Rd
Stow, OH 44224-4534
Mailing address
4581 Bunker LN
Stow, OH 44224-5159
Phone (504) 214-2942
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0600548-SUPV | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1104619014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4581 BUNKER LN",
"city": "STOW",
"state": "OH",
"postal_code": "442245159",
"telephone_number": "504-214-2942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 KENT RD",
"city": "STOW",
"state": "OH",
"postal_code": "442244534",
"telephone_number": "330-835-7477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JASON",
"credential": "PH.D., LPCCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-23",
"last_updated": "2025-05-23",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0600548-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.