Individual provider Active NPI

Deborra A Miller, PCC-S

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1255575239
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0007591 Issued in OH
Practice address
800 Compton Rd Unit 12
Cincinnati, OH 45231-3846
Phone
(513) 521-3175
Fax
(513) 521-3477
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.0007591 OH Primary

Addresses

Primary practice location

800 Compton Rd Unit 12
Cincinnati, OH 45231-3846

Mailing address

800 Compton Rd Unit 12
Cincinnati, OH 45231-3846
Phone (513) 521-3175

Other practice location 1

4760 Madison Rd
Cincinnati, OH 45227-1426
Phone (513) 321-8286

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

State licenses

LicenseStateTypeSpecialty
E.0007591OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Pathways LLC PastSince Dec 15, 2019 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": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1255575239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COMPTON RD UNIT 12",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313846",
            "telephone_number": "513-521-3175",
            "fax_number": "513-521-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMPTON RD UNIT 12",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313846",
            "telephone_number": "513-521-3175",
            "fax_number": "513-521-3477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4760 Madison Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452271426",
            "country_code": "US",
            "telephone_number": "513-321-8286",
            "fax_number": "513-751-0180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEBORRA",
        "middle_name": "A",
        "credential": "PCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0007591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.