Active NPI
Cynthia M Miller, PH.D., LPC
- Mental Health Counselor
- Charlottesville, VA
National Provider Identifier
1649407198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701003707
- Practice address
- 1411 Sachem PL Unit 3
Charlottesville, VA 22901-2556 - Phone
- (434) 760-6041
- NPI assigned
- Jun 11, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701003707 | VA | Primary |
| Professional Counselor | 101YP2500X | 0701003707 | VA |
Addresses
Primary practice location
1411 Sachem PL Unit 3
Charlottesville, VA 22901-2556
Mailing address
1411 Sachem PL Unit 3
Charlottesville, VA 22901-2556
Phone (434) 760-6041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 30, 2024 through Jan 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003707 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1649407198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 SACHEM PL UNIT 3",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229012556",
"telephone_number": "434-760-6041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 SACHEM PL UNIT 3",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229012556",
"telephone_number": "434-760-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CYNTHIA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701003707",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003707",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.