Individual provider Active NPI

Rebecca Dawn Miller, LPC, ATR-BC, ATCS

  • Mental Health Counselor
  • Lakewood, OH
National Provider Identifier
1730336207
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2305049 Issued in OH
Practice address
1624 Orchard Grove Ave
Lakewood, OH 44107-3730
Phone
(917) 817-6573
Fax
(917) 817-6573
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2305049 OH Primary
Art Therapist 221700000X 001176 NY

Addresses

Primary practice location

1624 Orchard Grove Ave
Lakewood, OH 44107-3730

Mailing address

1624 Orchard Grove Ave
Lakewood, OH 44107-3730
Phone (917) 817-6573

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

LicenseStateTypeSpecialty
C.2305049OHMDMental Health Counselor
001176NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1730336207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 ORCHARD GROVE AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073730",
            "telephone_number": "917-817-6573",
            "fax_number": "917-817-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 ORCHARD GROVE AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073730",
            "telephone_number": "917-817-6573",
            "fax_number": "917-817-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "REBECCA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "LPC, ATR-BC, ATCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2305049",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "001176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.