Individual provider Active NPI

Ryan Andrew Miller, M.A., LPCC-S, LICDC

  • Professional Counselor
  • Uniontown, OH
National Provider Identifier
1447798384
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0900626-SUPV Issued in OH
Practice address
3575 Forest Lake Dr Ste 100
Uniontown, OH 44685-8115
Phone
(330) 703-0105
NPI assigned
Feb 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0900626-SUPV OH
Professional Counselor 101YP2500X E.0900626-SUPV OH Primary
Counselor 101Y00000X E.0900626-SUPV OH
Addiction (Substance Use Disorder) Counselor 101YA0400X E.0900626-SUPV OH

Addresses

Primary practice location

3575 Forest Lake Dr Ste 100
Uniontown, OH 44685-8115

Mailing address

3575 Forest Lake Dr Ste 100
Uniontown, OH 44685-8115
Phone (330) 703-0105

Other practice location 1

3445 S Main St
Akron, OH 44319-3028
Phone (330) 644-4095

Other practice location 2

1033 E Turkeyfoot Lake Rd
Akron, OH 44312-7200
Phone (330) 949-7043

Other identifiers 1

IdentifierTypeStateIssuer
0228102MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204003432 OH Practitioner - Mental Health Counselor 9032562541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Counseling Services, LLCGroup PAC ID 7214380724, 12 clinicians

Practice addresses (Care Compare)

3575 Forest Lake Dr
Suite 100
Uniontown, OH 44685-8115
Phone (330) 703-0105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E.0900626-SUPVOHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling Services, LLC Addiction (Substance Use Disorder) CurrentSince Feb 3, 2017 Accepting new patients

Locations

1033 E Turkeyfoot Lake Rd
Ste 104
Green, OH 44312
Phone (330) 703-0105

3575 Forest Lake Dr
Ste 100
Green, OH 44685
Phone (330) 703-0105

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1447798384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 FOREST LAKE DR STE 100",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858115",
            "telephone_number": "330-703-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 FOREST LAKE DR STE 100",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858115",
            "telephone_number": "330-703-0105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 S Main St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443193028",
            "country_code": "US",
            "telephone_number": "330-644-4095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1033 E Turkeyfoot Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443127200",
            "country_code": "US",
            "telephone_number": "330-949-7043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "M.A., LPCC-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-10",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0900626-SUPV",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0900626-SUPV",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0900626-SUPV",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E.0900626-SUPV",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0228102",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.