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JORDAN R MILLER LAC
NPI 1174182778
Counselor in Mesa, AZ

Active since June 07, 2019
3048 E BASELINE RD STE 107, MESA, AZ 85204(480) 452-2556 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Jun 7, 2019 (2 updates tracked since 2019).

About Jordan R Miller Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN R MILLER LAC (NPI 1174182778) is an individual counselor in Mesa, Arizona, licensed in Arizona (LAC-6046T) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1174182778
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJORDAN R MILLERCredential: LAC
Location Address3048 E BASELINE RD STE 107Mesa, AZ 85204-7287
Mailing Address5359 E Elmwood StMesa, AZ 85205-5440 · (480) 528-1784
Phone(480) 452-2556
Sole ProprietorYes
Enumeration DateJune 7, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1174182778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AZ · LAC-6046T
Definition
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.
3048 E BASELINE RD STE 107, Mesa, AZ 85204
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON SPENCER LCSW
Social Worker (Clinical)
3048 E BASELINE RD STE 107
MESA, AZ 85204
Maricopa County (480) 482-1838
MICHELLE LYN PENFIELD FOWLER MA, LAC
Counselor (Mental Health)
3048 E BASELINE RD STE 107
MESA, AZ 85204
Maricopa County (480) 779-9155
HEALING LIFE COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
3048 E BASELINE RD STE 107
MESA, AZ 85204
Maricopa County (480) 482-1838
KIRA BUTLER LAMFT
Marriage & Family Therapist
3048 E BASELINE RD STE 107
MESA, AZ 85204
Maricopa County (559) 949-7788
AMY ELIZABETH JOHNS
Marriage & Family Therapist
3048 E BASELINE RD STE 107
MESA, AZ 85204
Maricopa County (602) 290-1425
LILY J WILHELM LPC
Counselor (Mental Health)
3048 E BASELINE RD STE 107
MESA, AZ 85204
Maricopa County (480) 482-1838

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Miller's NPI number?

The NPI number for Jordan Miller is 1174182778. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Jordan Miller located?

Jordan Miller practices at 3048 E Baseline Rd Ste 107, Mesa, AZ 85204. The listed phone number is (480) 452-2556.

What is Jordan Miller's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jordan Miller was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.