Jason Michael Miller, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC008989 Issued in PA

Practice address

1043 Forest Dr
Stroudsburg, PA 18360-1914

Phone

(908) 566-5635

NPI assigned

Mar 20, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• East Stroudsburg Counseling Associates LLC

  • Community/Behavioral Health Agency
  • East Stroudsburg, PA
  • NPI 1326518614
  NPD (past) Authorized official

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1750822938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 FOREST DR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601914",
            "telephone_number": "908-566-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 FOREST DR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601914",
            "telephone_number": "908-566-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Everett Middleton, M.D.
• Chelsea Mikolosky, D.O.
• Milford Psychotherapy LLC
• Edward William Milisits III, DPT
• Constance M Milland, MA, MS
• John Miller, LPC
• Katrina Miller, LSW
• Makayla Lee Miller
• Melissa Marie Miller, M.S. CCC-SLP
• Vicki Hoyler Miller, CRNP

• Professional Counselor in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.