Jacklyn Suzanne Miller, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6451016116 Issued in MI

Practice address

604 S Main St
Adrian, MI 49221-3215

Phone

(517) 759-6979

Fax

(855) 802-3095

NPI assigned

Apr 18, 2011

Last updated

Aug 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counselingoflenawee, PC

  • Addiction (Substance Use Disorder) Counselor
  • Adrian, MI
  • NPI 1942428511
  NPD (past)
• Family Service and Childrens Aid

  • Community/Behavioral Health Agency
  • Jackson, MI
  • NPI 1699861609
  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1154611663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213215",
            "telephone_number": "517-392-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213215",
            "telephone_number": "517-759-6979",
            "fax_number": "855-802-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JACKLYN",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451016116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Rural Health Clinic, P.C. (Adrian Medical Clinic)
• Michigan Rural Health Clinic, P.C. (Adrian Medical Clinic)
• Hanna Mignano
• Alexas Miller
• Gracelyn Marie Miller
• Jenna Rae Miller, OT
• Lisa Miller, LPN
• Amber Million, MASSAGE THERAPIST
• Renee Theresa Mingus, MA LLP
• Marlayna Nicole Minnick

• Professional Counselor in Adrian, MI
• Providers in Adrian, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.