Individual provider Active NPI

Christopher J Miller, M.ED, LPCC-S

  • Professional Counselor
  • Uniontown, OH
National Provider Identifier
1780023606
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2001631-SUPV Issued in OH
Practice address
1525 Corporate Woods Pkwy Ste 300
Uniontown, OH 44685-7883
Phone
(330) 207-4500
NPI assigned
Jun 25, 2013
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2001631-SUPV OH Primary

Addresses

Primary practice location

1525 Corporate Woods Pkwy Ste 300
Uniontown, OH 44685-7883

Mailing address

12933 Sunset Cir NW
Uniontown, OH 44685-9168
Phone (330) 961-7161

Other identifiers 1

IdentifierTypeStateIssuer
2098331MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240314003732 OH Practitioner - Mental Health Counselor 9830533249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LRJT Investments LLCGroup PAC ID 2668816075, 3 clinicians

Practice addresses (Care Compare)

1525 Corporate Woods Pkwy
Suite 300
Uniontown, OH 44685-7883
Phone (330) 915-2451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
E.2001631-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LRJT Investments LLC CurrentSince Jan 1, 2024 Accepting new patients
Commquest Services, Inc. Past Accepting new patients
Commquest Services, Inc. Past Accepting new patients

Locations

1525 Corporate Woods Pkwy
Ste 300
Green, OH 44685
Phone (330) 207-4500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1780023606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12933 SUNSET CIR NW",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859168",
            "telephone_number": "330-961-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 CORPORATE WOODS PKWY STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857883",
            "telephone_number": "330-207-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "M.ED, LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2001631-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098331",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.