Charis R Miller, LPC

Individual provider Active NPI Professional Counselor · Rustburg, VA

NPI 1669962643 · NPPES record last updated Apr 1, 2026

Key facts

NPI
1669962643
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0701007644 (VA)
Practice address
2153 Sunnymeade Rd
Rustburg, VA 24588-4600
Phone
(540) 236-8079
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0701007644VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Resources PLC Past
since Aug 1, 2011
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701007644 VA Yes

Addresses

Primary practice location

2153 Sunnymeade Rd
Rustburg, VA 24588-4600

Mailing address

2153 Sunnymeade Rd
Rustburg, VA 24588-4600
Phone (540) 236-8079

Other providers in Rustburg, VA

All providers in Rustburg, VA · Professional Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.