Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADDISON L MILES LISWS, LICDC
NPI 1558851691
Counselor - Addiction (Substance Use Disorder) in Fairlawn, OH

Q: What is Maddison Miles's NPI number?

The NPI number for Maddison Miles is 1558851691. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Q: What is Maddison Miles's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Maddison Miles was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.

Active since May 15, 2018PECOS Enrolled

3094 W MARKET ST STE 105, FAIRLAWN, OH 44333(440) 260-8300 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 11, 2026, Mar 27, 2026, Apr 17, 2020 and 2 more (5 updates tracked since 2018).

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About Maddison L Miles Lisws, Licdc NPPES

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

MADDISON L MILES LISWS, LICDC (NPI 1558851691) is an individual addiction (substance use disorder) provider in Fairlawn, Ohio, licensed in Ohio (LICDC.162841) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Massillon, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558851691

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMADDISON L MILESCredential: LISWS, LICDC

Location Address3094 W MARKET ST STE 105Fairlawn, OH 44333-3617

Mailing Address434 Eastland RdBerea, OH 44017-1217 · (440) 234-2006 · Fax (330) 453-6716

Phone(440) 260-8300

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMay 15, 2018

Last NPPES UpdateSeptember 11, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2026

✔ NPI 1558851691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · LICDC.162841

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License I.2506367 (OH)

Also ListedCommunity Health WorkerTaxonomy 172V00000X · License I.2506367 (OH)

3094 W MARKET ST STE 105, Fairlawn, OH 44333

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Secondary Practice Location 1

Location 1412 Lincoln Way EMassillon, OH 44646-8404 · Phone (330) 452-9807 · Fax (330) 452-9808

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maddison L Miles Lisws, Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698230548

PECOS Enrollment IDI20260721003187

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JESSICA LONG QMHS-BA

Community/Behavioral Health