Individual provider Active NPI

Zoe Chrisman-Miller, LPC

  • Mental Health Counselor
  • Corvallis, OR
National Provider Identifier
1639722515
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
833 NW Buchanan Ave
Corvallis, OR 97330-6217
Phone
(971) 380-9149
Fax
(971) 386-1063
NPI assigned
Jul 19, 2019
Last updated
May 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

833 NW Buchanan Ave
Corvallis, OR 97330-6217

Mailing address

833 NW Buchanan Ave
Corvallis, OR 97330-6217
Phone (971) 380-9149

Other identifiers 1

IdentifierTypeStateIssuer
500777066MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 17, 2025 through Jun 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1639722515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 NW BUCHANAN AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306217",
            "telephone_number": "971-380-9149",
            "fax_number": "971-386-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NW BUCHANAN AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306217",
            "telephone_number": "971-380-9149",
            "fax_number": "971-386-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISMAN-MILLER",
        "first_name": "ZOE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500777066",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.