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JORDAN MILLER
NPI 1548705403
Counselor in Randolph, MA

Active since January 03, 2017
41 PACELLA PARK DR, RANDOLPH, MA 02368(781) 440-0400 Get Directions Write a Review

NPPES record last updated: August 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2017, Jan 3, 2017 (2 updates tracked since 2017).

About Jordan Miller NPPES

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

JORDAN MILLER (NPI 1548705403) is an individual counselor in Randolph, Massachusetts and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1548705403
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJORDAN MILLER
Location Address41 PACELLA PARK DRRandolph, MA 02368-1755
Mailing Address41 Pacella Park DrRandolph, MA 02368-1755 · (781) 440-0400
Phone(781) 440-0400
Sole ProprietorNo
Enumeration DateJanuary 3, 2017
Last NPPES UpdateAugust 30, 20172 updates tracked since enumeration
✔ NPI 1548705403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
41 PACELLA PARK DR, Randolph, MA 02368
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Other Identifiers 1

Medicaid110026265EMA

Other Providers at the Same Location NPPES 20

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

KAFUNDA BANKS
Counselor (Mental Health)
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
RENE SCHWIESOW
Counselor (Mental Health)
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
SACHA SHAW
Behavior Analyst
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
AAHLIYANAH GONCALVES
Behavior Technician
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
KRISTA G CANON BCBA
Behavior Analyst
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 437-1323
MADELINE MCKEEVER
Counselor (Mental Health)
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
KAYLEIGH SULLIVAN
Behavior Technician
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
TYANA L ENGLISH-DANIEL
Behavior Technician
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400

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 1548705403. It was assigned to this individual provider in the NPPES registry on January 3, 2017.

Where is Jordan Miller located?

Jordan Miller practices at 41 Pacella Park Dr, Randolph, MA 02368. The listed phone number is (781) 440-0400.

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 August 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.