Individual provider Active NPI

Robin May Miller, MA, LPC, CAADC

  • Counselor
  • Charlevoix, MI
National Provider Identifier
1730466319
Registry record updated Jul 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401011781 Issued in MI
Practice address
1005 May St
Charlevoix, MI 49720
Phone
(231) 758-6182
NPI assigned
Nov 9, 2011
Last updated
Jul 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401011781 MI Primary

Addresses

Primary practice location

1005 May St
Charlevoix, MI 49720

Mailing address

3623 Click Rd
Petoskey, MI 49770-8838
Phone (231) 439-9695

Other practice location 1

12900 US Highway 31 N
Charlevoix, MI 49720-1530
Phone (231) 237-0031 ext. 12

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401011781MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531008000000",
    "number": "1730466319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 CLICK RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708838",
            "telephone_number": "231-439-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MAY ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "49720",
            "telephone_number": "231-758-6182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12900 US Highway 31 N",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201530",
            "country_code": "US",
            "telephone_number": "231-237-0031 x12",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBIN",
        "middle_name": "MAY",
        "credential": "MA, LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2018-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.