Charles Miner

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2200 W War Memorial Dr # Bu07
Peoria, IL 61613-1000

Phone

(313) 287-5664

NPI assigned

Feb 14, 2025

Sex

Male

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

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1285439299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 W SHERMAN AVE",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616045604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W WAR MEMORIAL DR # BU07",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616131000",
            "telephone_number": "313-287-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Milsteadt, APRN, CNP
• Adel F Mina, M.D.
• Brendan Dean Minardi, D.O.
• Mindock Counseling and Consulting
• Sharon F. Mindock, LCPC
• Michael W Minesinger, RPH
• Megan Elizabeth Mink, PT, DPT
• Derek Minor, MD
• Mario Miranda, DO
• Miriam Geiger PLLC

• Counselor in Peoria, IL
• Providers in Peoria, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.