JORDAN MILLER (NPI# 1548705403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548705403 |
| Entity Type | Individual |
| Full Name | JORDAN MILLER |
| Practice Address |
41 Pacella Park Dr Randolph MA 02368-1755 |
| Practice Telephone | 7814400400 |
| Mailing Telephone | 7814400400 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110026265E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672116 | Jordan Miller | Chiropractor | 1201 Road To Six Flags St E Ste 103, Arlington, TX 76011-5044 | 2019-11-04 |
| 1508330408 | Jordan L Miller | Specialist/Technologist | 4084 Grayfriars Ln, Columbus, OH 43224-1758 | 2019-01-14 |
| 1689175200 | Jordan Miller | Student in an Organized Health Care Education/Training Program | 6775 Newport Lake Cir, Boca Raton, FL 33496-3004 | 2018-02-28 |
| 1821442484 | Jordan Miller | Specialist/Technologist | 324 E Pike St, South Lebanon, OH 45065-1334 | 2016-04-20 |
| 1013159540 | Jordan Miller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 S Limestone Rm A301, Lexington, KY 40536-0001 | 2009-03-30 |
| 1871190991 | Jordan Wayne Miller | Chiropractor | 11876 Olio Rd Ste 500, Fishers, IN 46037-9772 | 2020-10-01 |
| 1689282295 | Jordan Lindsey Miller | Nurse Practitioner | 231 Medical Park Dr Ste 300, Bluefield, VA 24605-1531 | 2020-07-20 |
| 1023635281 | Jordan K Miller | Counselor | 1709 Bragaw St, Anchorage, AK 99508-3436 | 2020-07-02 |
| 1972128049 | Jordan Benner Miller | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-06-14 |
| 1669009502 | Jordan Daniel Miller | Student in an Organized Health Care Education/Training Program | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-03-23 |
| Street Address |
41 PACELLA PARK DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356318125 | The May Institute, Inc | Psychologist | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2006-03-01 |
| 1952900227 | Manyun Xie | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-10-19 |
| 1558978718 | John H Williams | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-09-30 |
| 1487269593 | Phillip A Burke | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-09-15 |
| 1326650797 | Nakayla C Raymond | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-18 |
| 1508478967 | Cynthia L Riley | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-18 |
| 1649881954 | Johanna Dowdy | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-11 |
| 1124643432 | Kayla Ruth Gordon | Psychologist | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-06-11 |
| 1013531540 | Sacha Shaw | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-06-01 |
| 1154959542 | Jon Roland | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780156000 | Taisha Dorsainvil | Counselor | 43 Highland Ave Apt 26, Randolph, MA 02368-4525 | 2018-12-27 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1215314992 | Lyonel Traversiere | Counselor | 58 Althea Rd, Randolph, MA 02368-2950 | 2015-05-01 |
| 1063849768 | Patrice Augustin | Counselor | 7 Smith Rd, Randolph, MA 02368-2941 | 2013-09-26 |
| 1497007959 | Briget Bride | Counselor | 14 Darrell Dr, Randolph, MA 02368-4810 | 2012-10-09 |
| 1770857211 | Rosita Camarao | Counselor | 14101 Chestnut W, Randolph, MA 02368-6359 | 2012-03-01 |
| 1063714384 | Daphne Rollande Claudomir | Counselor | 4 Frank Leary Way Unit 4, Randolph, MA 02368 | 2010-11-18 |
| 1942459375 | Lannie Lee | Counselor | 9 Canton St, Randolph, MA 02368-2424 | 2008-09-10 |
| 1144820267 | Michael Teixeira | Counselor | 400 N Main St, Randolph, MA 02368-4177 | 2020-10-28 |
| 1346863693 | Brian Gonsalves | Counselor | 248 High St, Randolph, MA 02368-1837 | 2020-05-21 |
| Find all providers in RANDOLPH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.