Active NPI
David Neil Miles, MSED, LPCC
- Mental Health Counselor
- Cloquet, MN
National Provider Identifier
1669978086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC01451
- Practice address
- 707 Highway 33 S Ste 9B
Cloquet, MN 55720-2665 - Phone
- (218) 878-9352
- NPI assigned
- Apr 4, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC01451 | MN | Primary |
Addresses
Primary practice location
707 Highway 33 S Ste 9B
Cloquet, MN 55720-2665
Mailing address
109 W Toledo St
Duluth, MN 55811-2319
Phone (218) 206-4069
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 |
|---|---|---|---|
| CC01451 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joie Ann Miletich | Single Specialty | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1669978086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W TOLEDO ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558112319",
"telephone_number": "218-206-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 HIGHWAY 33 S STE 9B",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557202665",
"telephone_number": "218-878-9352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "DAVID",
"middle_name": "NEIL",
"name_prefix": "Mr.",
"credential": "MSED, LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC01451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.