Individual provider Active NPI

Andrea Howard Miller, M.S., ED.S., LCMHCS

  • Professional Counselor
  • Cornelius, NC
National Provider Identifier
1104957216
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
S6708 Issued in NC
Practice address
17015 Kenton Dr Ste 203
Cornelius, NC 28031-5561
Phone
(704) 572-9286
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X S6708 NC Primary

Addresses

Primary practice location

17015 Kenton Dr Ste 203
Cornelius, NC 28031-5561

Mailing address

495 Chalk Maple Rd
China Grove, NC 28023-1508
Phone (704) 640-8921

Other names 1

  • Ahm Consulting Other name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
S6708NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Family Counseling, PLLC Professional CurrentSince Aug 11, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1104957216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CHALK MAPLE RD",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280231508",
            "telephone_number": "704-640-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17015 KENTON DR STE 203",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315561",
            "telephone_number": "704-572-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDREA",
        "middle_name": "HOWARD",
        "name_prefix": "Mrs.",
        "credential": "M.S., ED.S., LCMHCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S6708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AHM",
            "last_name": "CONSULTING",
            "credential": "PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.