NICOLE MILLER – Addiction (Substance Use Disorder) Counselor, NPI 1407267404

NICOLE MILLER is a healthcare provider. based in Lisbon, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LICDC121143 (OH). The NPI Number for NICOLE MILLER is 1407267404

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MILLER
NPI
1407267404
Phone
(330) 424-1468
Address
964 N MARKET ST
Enumeration Date
13 May 2014
Last Update Date
31 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304241468
Graduation Year
2010 (16 years ago)
PAC ID
2365968971
Group Practice PAC ID
0446273304
Professional Enrollment ID
I20250428001261
Address ID
OH444329363LI964XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for NICOLE MILLER

  • 964 N MARKET ST

    LISBON, OH 444329363

    Phone: (330) 424-1468

    Type: Location

  • PO BOX 464

    LISBON, OH 444320464

    Phone: (330) 424-1468

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250428001261IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44432)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446273304View full group profile
NameSpecialtyState
Family PracticeOH
Mental Health CounselorOH
Family PracticeOH
Family PracticeOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

Does NICOLE MILLER share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICOLE MILLER uses 1407267404.
Can I rely on NICOLE MILLER being an active provider?
As of the registry snapshot, NICOLE MILLER is marked active.
What healthcare role does NICOLE MILLER hold?
Scheduling teams often label NICOLE MILLER under Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect NICOLE MILLER on a map?
Expect Lisbon, Ohio as a primary anchor for NICOLE MILLER unless the record lists multiple sites.
Why does NICOLE MILLER have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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