Kyle Raymond Miller, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180011166 Issued in IL

Practice address

920 175TH St Ste 6
Homewood, IL 60430-2077

Phone

(773) 357-6361

Fax

(708) 360-8367

NPI assigned

Dec 19, 2010

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Nexus Counseling Services, LLC

  • Mental Health Counselor
  • Homewood, IL
  • NPI 1245710821
  NPD Authorized official
• Nexus Counseling Services, LLC

  • Adult Mental Health Clinic/Center
  • Homewood, IL
  • NPI 1740133149
  NPD Authorized official

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

{
    "created_epoch": "1292716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1992008601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 175TH ST STE 6",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302077",
            "telephone_number": "773-357-6361",
            "fax_number": "773-360-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 175TH ST STE 6",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302077",
            "telephone_number": "773-357-6361",
            "fax_number": "708-360-8367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 Ridge Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604301762",
            "country_code": "US",
            "telephone_number": "708-991-7103",
            "fax_number": "708-360-8367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KYLE",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-19",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Express Care 2 Inc
• Alphia Miller
• Amanda Leigh Miller, PHARMD
• Donald A. Miller, D.D.S.,M.S.
• Jillian Andrea Miller
• Sheree N Miller
• Stacie Danielle Miller
• Ruth Ann Mills, CHIROPRACTOR
• Mary Mims
• Mindful Wellness Counseling

• Professional Counselor in Homewood, IL
• Providers in Homewood, IL by specialty
• Professional Counselor in Illinois

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

Verify at the official NPI Registry.