Active NPI
Cynthia Miller, LICDC-CS
- Addiction (Substance Use Disorder) Counselor
- Cleveland, OH
National Provider Identifier
1609917855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 944079
- Practice address
- 11811 Shaker Blvd Ste 123
Cleveland, OH 44120-1927 - Phone
- (216) 242-2990
- Fax
- (216) 455-5436
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 944079 | OH | Primary |
Addresses
Primary practice location
11811 Shaker Blvd Ste 123
Cleveland, OH 44120-1927
Mailing address
13303 Beachwood Ave
Cleveland, OH 44105-6415
Phone (216) 581-1662
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
| License | State | Type | Specialty |
|---|---|---|---|
| 944079 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inter-Cept Consultant Services, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
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.
-
- Addiction (Substance Use Disorder) Counselor
- Cleveland, OH
- NPI 1467916809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1609917855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13303 BEACHWOOD AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441056415",
"telephone_number": "216-581-1662",
"fax_number": "216-581-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11811 SHAKER BLVD STE 123",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441201927",
"telephone_number": "216-242-2990",
"fax_number": "216-455-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CYNTHIA",
"name_prefix": "Mrs.",
"credential": "LICDC-CS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "944079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.