Active NPI
Gabriella Chance Caldwell-Miller, PHD, LPC
- Professional Counselor
- Glen Allen, VA
National Provider Identifier
1114934726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004375
- Practice address
- 1045 Connecticut Ave
Glen Allen, VA 23060-2376 - Phone
- (804) 836-6274
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- 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 | 0701004375 | VA | Primary |
Addresses
Primary practice location
1045 Connecticut Ave
Glen Allen, VA 23060-2376
Mailing address
1045 Connecticut Ave
Glen Allen, VA 23060-2376
Phone (804) 836-6274
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 |
|---|---|---|---|
| 0701004375 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1114934726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 CONNECTICUT AVE",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230602376",
"telephone_number": "804-836-6274",
"fax_number": "309-662-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 CONNECTICUT AVE",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230602376",
"telephone_number": "804-836-6274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL-MILLER",
"first_name": "GABRIELLA",
"middle_name": "CHANCE",
"name_prefix": "Mr.",
"credential": "PHD, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.