Active NPI
Christy Vitou Miles, M.A., LCMHC, NBCC
- Professional Counselor
- Leland, NC
National Provider Identifier
1942361746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4791
- Practice address
- 119 Fairview Rd
Leland, NC 28451-8259 - Phone
- (336) 250-3130
- NPI assigned
- Dec 13, 2006
- Reactivated
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4791 | NC | Primary |
Addresses
Primary practice location
119 Fairview Rd
Leland, NC 28451-8259
Mailing address
119 Fairview Rd
Leland, NC 28451-8259
Phone (336) 250-3130
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4791 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1942361746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 FAIRVIEW RD",
"city": "LELAND",
"state": "NC",
"postal_code": "284518259",
"telephone_number": "336-250-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 FAIRVIEW RD",
"city": "LELAND",
"state": "NC",
"postal_code": "284518259",
"telephone_number": "336-250-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "CHRISTY",
"middle_name": "VITOU",
"name_prefix": "Mrs.",
"credential": "M.A., LCMHC, NBCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"deactivation_date": "2017-12-14",
"reactivation_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.