Nicole Marie Miller, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2202994 Issued in OH

Practice address

7100 Graphics Way Ste 3100
Lewis Center, OH 43035-1123

Phone

(740) 428-0428

Fax

(740) 909-4077

NPI assigned

Jun 19, 2019

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Marie Dickman Former name

Medicare fee-for-service enrollment

Enrolled in OH

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Ohio IncGroup PAC ID 7719325083, 67 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optum Behavioral Care of Ohio, Inc

  dba The Center for Cognitive and Behavioral Therapy of Ohio

  • Counseling Psychologist
  • Columbus, OH
  • NPI 1285400978
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Ohio, Inc.

  • Clinical Social Worker
  • Maryland Heights, MO
  • NPI 1528945623
  NPD
• Graceful Growth Professional Counseling LLC

  • Adult Mental Health Clinic/Center
  • Columbus, OH
  • NPI 1720792559
  NPD (past)
• Optum Behavioral Care of Ohio, Inc

  dba Affirmations Psychological Services of Ohio

  • Counseling Psychologist
  • Columbus, OH
  • NPI 1952177644
  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1720648975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 BETHEL RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202005",
            "telephone_number": "614-459-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 GRAPHICS WAY STE 3100",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430351123",
            "telephone_number": "740-428-0428",
            "fax_number": "740-909-4077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 W William St",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430151362",
            "country_code": "US",
            "telephone_number": "614-459-3003 x739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1565 Bethel Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432202005",
            "country_code": "US",
            "telephone_number": "614-459-3003 x739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1801491",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2202994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DICKMAN",
            "middle_name": "MARIE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mid-Ohio Foot and Ankle Specialists LLC
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• Evgeniya Aleksandrovna Miller
• Hayley Rae Miller, APRN-FNP-BC
• Morgan McKenzi Miller, M.A CCC-SLP
• Katrina Mineo, LSW
• Tyler J Minney
• Shelbey M Mitchell, MSW, LISW-S
• Modern Medical Inc
• Cynthia Montgomery

• Professional Counselor in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.