Individual provider Active NPI

Jeffery Miller, LCPC

  • Professional Counselor
  • Buffalo Grove, IL
National Provider Identifier
1902970064
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1401 McHenry Rd
Suite #122
Buffalo Grove, IL 60089-1382
Phone
(847) 913-0393
Fax
(847) 913-9630
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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 IL Primary

Addresses

Primary practice location

1401 McHenry Rd
Suite #122
Buffalo Grove, IL 60089-1382

Mailing address

1401 McHenry Rd
Suite #122
Buffalo Grove, IL 60089-1382
Phone (847) 913-0393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20241003000745 IL Practitioner - Mental Health Counselor 3577094416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arbor Counseling Center, LTDGroup PAC ID 4880698935, 16 clinicians

Practice addresses (Care Compare)

1790 Nations Dr
Suite 208
Gurnee, IL 60031-9176
Phone (847) 913-0393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-006070ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Counseling Center,LTD CurrentSince Sep 19, 2024 Accepting new patients

Locations

1401 McHenry Rd
Ste 122
Buffalo Grove, IL 60089
Phone (847) 913-0393

1790 Nations Dr
Ste 208
Gurnee, IL 60031
Phone (847) 913-0393

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1902970064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MCHENRY RD",
            "address_2": "SUITE #122",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891382",
            "telephone_number": "847-913-0393",
            "fax_number": "847-913-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MCHENRY RD",
            "address_2": "SUITE #122",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891382",
            "telephone_number": "847-913-0393",
            "fax_number": "847-913-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEFFERY",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.