Matthew Stephen Miner, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.140460 Issued in OH

Practice address

960 Boardman Canfield Rd
Boardman, OH 44512-4220

Phone

(330) 259-8813

Fax

(330) 270-2690

NPI assigned

Oct 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

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1992216667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 WESTCHESTER DR",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445153901",
            "telephone_number": "330-259-8813",
            "fax_number": "330-270-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124220",
            "telephone_number": "330-259-8813",
            "fax_number": "330-270-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "MATTHEW",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.140460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Igor Milosevic, M.D.
• Mind & Body Counseling Solutions
• Mindful Connection Institute LLC
• Mindful Connections Counseling, LLC
• Benjamin Miner
• Asmau N Misawa, MD
• Katherine Mitry, MD
• Chrysann Mitzel, MSED, LPCC
• Olivia L Molinar, PA
• Alexa Anne Mollica, SLP

• Addiction (Substance Use Disorder) Counselor in Boardman, OH
• Providers in Boardman, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

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