Individual provider Active NPI

Donna Miller, LCMHCS, ITFS

  • Professional Counselor
  • Gastonia, NC
National Provider Identifier
1568872406
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10584 Issued in NC
Practice address
1566 Union Rd Ste E2
Gastonia, NC 28054-5301
Phone
(910) 672-6766
Fax
(919) 882-9599
NPI assigned
Apr 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 NC
Marriage & Family Therapist 106H00000X 9079A NC
Early Intervention Provider Agency 252Y00000X NC
Professional Counselor 101YP2500X 10584 NC Primary

Addresses

Primary practice location

1566 Union Rd Ste E2
Gastonia, NC 28054-5301

Mailing address

PO Box 1287
Huntersville, NC 28070-1287
Phone (910) 672-6766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10584NCMDProfessional Counselor
9079ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strengthening Foundations Child & Family Counseling Early Intervention Provider Agency CurrentSince Feb 4, 2024 Accepting new patients

Locations

1566 Union Rd
Ste E2
Gastonia, NC 28054
Phone (910) 672-6766

400 Gilead Rd
Unit 1287
Huntersville, NC 28070
Phone (910) 672-6766

312 W Millbrook Rd
Ste 121
Raleigh, NC 27609
Phone (910) 672-6766

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1568872406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1287",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280701287",
            "telephone_number": "910-672-6766",
            "fax_number": "919-882-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 UNION RD STE E2",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545301",
            "telephone_number": "910-672-6766",
            "fax_number": "919-882-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DONNA",
        "credential": "LCMHCS, ITFS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "9079A",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.