Vivian C Miller-Meacham, CT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CT2002704TRNE Issued in OH

Practice address

811 Faircrest St SW
Canton, OH 44706-4844

Phone

(330) 639-4408

Fax

(330) 639-4436

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Commquest Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1841550696
  NPD (past)
• Quest Recovery and Prevention Services, Inc.

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1962831685
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1326648619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021805",
            "telephone_number": "330-455-0374",
            "fax_number": "330-453-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 FAIRCREST ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447064844",
            "telephone_number": "330-639-4408",
            "fax_number": "330-639-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-MEACHAM",
        "first_name": "VIVIAN",
        "middle_name": "C",
        "credential": "CT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "CT2002704TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda M Millard, N.P.
• Teresa Millard
• Terry Millard, RD LD
• Jessica Lynn Miller Fluharty, PHARMD
• Miller Holdings Stark, Inc.
• Adam Miller
• Anna Marie Miller, LSW
• Anya Nicole Miller, NA
• Cherell Latoy Miller
• Danyell E Miller, LPN

• Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.