Cynthia Denise Miller, MS, LMHC, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

99101989A Issued in IN

Practice address

412 S Scott Rd
Fort Wayne, IN 46814-9702

Phone

(260) 358-7180

NPI assigned

Oct 3, 2018

Last updated

May 10, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Neossia Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Wayne, IN
  • NPI 1295396810
  NPD (past)
• Appalachian Outpatient Services

  dba Tapestry Adolescent Program

  • Adolescent and Children Mental Health Clinic/Center
  • Fletcher, NC
  • NPI 1740640549
  NPD (past)

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1265917447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 3RD ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468082577",
            "telephone_number": "260-223-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S SCOTT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149702",
            "telephone_number": "260-358-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5010 Hendersonville Rd",
            "address_purpose": "LOCATION",
            "city": "Fletcher",
            "state": "NC",
            "postal_code": "287326606",
            "country_code": "US",
            "telephone_number": "828-884-2475 x2310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CYNTHIA",
        "middle_name": "DENISE",
        "credential": "MS,  LMHC, LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2021-05-10",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99101989A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Miller
• Caleb Miller
• Carissa Miller, NP
• Colton Miller, LAT, ATC
• Courtney A Miller, M.S., CCC-SLP
• Dakotah Miller
• Daniel Steven Miller, D.C.
• Ebeney Miller
• Emily K Miller, FNP
• Halle Kay Miller

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.