Individual provider Active NPI

Michele Miner, LCPC DPEA

  • Psychologist
  • Arlington Heights, IL
National Provider Identifier
1104927425
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
415 E Golf Rd
Dr Michele Miner Suite 115
Arlington Heights, IL 60005-4049
Phone
(312) 397-0408
Fax
(847) 981-0878
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X IL Primary

Addresses

Primary practice location

415 E Golf Rd
Dr Michele Miner Suite 115
Arlington Heights, IL 60005-4049

Mailing address

415 E Golf Rd
Dr Michele Miner Suite 115
Arlington Heights, IL 60005-4049
Phone (312) 397-0408

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1210 N Astor St
Apt 7B
Chicago, IL 60610-2323
Phone (312) 397-0408

1210 N Astor St Apt
7B
Chicago, IL 60610-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180001033ILMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104927425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E GOLF RD",
            "address_2": "DR MICHELE MINER SUITE 115",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054049",
            "telephone_number": "312-397-0408",
            "fax_number": "847-981-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E GOLF RD",
            "address_2": "DR MICHELE MINER SUITE 115",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054049",
            "telephone_number": "312-397-0408",
            "fax_number": "847-981-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "LCPC DPEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.