Individual provider Active NPI

Richard K. Miller, L.P.C.C.

  • Professional Counselor
  • Toledo, OH
National Provider Identifier
1467676999
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E 0000970 Issued in OH
Practice address
123 22ND St
Toledo, OH 43624-1107
Phone
(419) 241-6191
Fax
(419) 255-5623
NPI assigned
Apr 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0000970 OH Primary

Addresses

Primary practice location

123 22ND St
Toledo, OH 43624-1107

Mailing address

123 22ND St
Toledo, OH 43624-1107
Phone (419) 241-6191

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
I20240815002278 OH Practitioner - Mental Health Counselor 8527951359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchored in Hope Counseling, LLCGroup PAC ID 5294166138, 6 clinicians

Practice addresses (Care Compare)

1690 Woodlands Dr
Suite 200
Maumee, OH 43537-4045
Phone (419) 491-0420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E 0000970OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored in Hope Counseling, LLC CurrentSince May 26, 2024 Accepting new patients
Anchored in Hope Counseling, LLC PastSince Jul 31, 2022 Accepting new patients

Locations

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467676999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 22ND ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436241107",
            "telephone_number": "419-241-6191",
            "fax_number": "419-255-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 22ND ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436241107",
            "telephone_number": "419-241-6191",
            "fax_number": "419-255-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RICHARD",
        "middle_name": "K.",
        "credential": "L.P.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0000970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.