1. Home
  2. Directory
  3. Illinois
  4. Evanston
  5. Counselor
  6. NPI Profile

CHARLES S MIYAMOTO REV.; LPC
NPI 1508204066
Counselor - Professional in Evanston, IL

Active since June 06, 2013
1427 CHICAGO AVE, EVANSTON, IL 60201(847) 864-9133 Get Directions Write a Review

NPPES record last updated: October 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles S Miyamoto Rev.; Lpc NPPES

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

CHARLES S MIYAMOTO REV.; LPC (NPI 1508204066) is an individual professional provider in Evanston, Illinois, licensed in Illinois (178.008311) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1508204066
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHARLES S MIYAMOTOCredential: REV.; LPC
Location Address1427 CHICAGO AVEEvanston, IL 60201-4726
Mailing Address1427 Chicago AveEvanston, IL 60201-4726 · (847) 864-9133
Phone(847) 864-9133
Sole ProprietorNo
Enumeration DateJune 6, 2013
Last NPPES UpdateOctober 21, 2013
✔ NPI 1508204066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.008311
1427 CHICAGO AVE, Evanston, IL 60201
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

THE COUNSELING CENTER
Community/Behavioral Health
1427 CHICAGO AVE
EVANSTON, IL 60201
Cook County (847) 864-9133
FIRST PRESBYTERIAN CHURCH
Clinic/Center
1427 CHICAGO AVE
EVANSTON, IL 60201
Cook County (847) 864-9133
VICTORIA ANN NELSON LPC
Counselor
1427 CHICAGO AVE
EVANSTON, IL 60201
Cook County (847) 864-9133

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 Charles Miyamoto's NPI number?

The NPI number for Charles Miyamoto is 1508204066. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Charles Miyamoto located?

Charles Miyamoto practices at 1427 Chicago Ave, Evanston, IL 60201. The listed phone number is (847) 864-9133.

What is Charles Miyamoto's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Charles Miyamoto was last updated on October 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.