Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548705403 Individual Practitioner Male Practitioner

Jordan Miller

Counselor • Randolph, MA

Professional Overview & Biography Verified Profile Summary

Jordan Miller is a registered healthcare professional specializing in Counselor in Randolph, MA. Practice services are available at 41 PACELLA PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

41 Pacella Park Dr

Randolph, MA 023681755

Telephone 7814400400
Associated Practice Facility / Clinic
🏢 The May Institute, Inc Facility NPI 1356318125

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Randolph, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
28 Specialists

Practicing in Randolph, MA (9162 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110026265E (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kafunda Banks

Counselor - Mental Health

NPI 1003115494
Rene Schwiesow

Counselor - Mental Health

NPI 1003181272
Alexander Gasdia

Counselor - Mental Health

NPI 1003295890
Courtney Destremps

Counselor - Mental Health

NPI 1003354754
Victoria Symkus

Counselor - Mental Health

NPI 1013378819
Gabrielle Bartholomew

Counselor - Mental Health

NPI 1013416924

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active August 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2017

Registered at 41 PACELLA PARK DR, RANDOLPH, MA 023681755 (Tel: 7814400400)

📍
Updated Business Mailing Address August 30, 2017

Registered at 41 PACELLA PARK DR, RANDOLPH, MA 023681755 (Tel: 7814400400)

👤
Provider Name / Credentials Updated August 30, 2017

Recorded as JORDAN MILLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2017

Counselor

NPI Profile Active January 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2017

Registered at 41 PACELLA PARK DR, RANDOLPH, MA 023681755 (Tel: 7814400400)

📍
Updated Business Mailing Address January 03, 2017

Registered at 41 PACELLA PARK DR, RANDOLPH, MA 023681755 (Tel: 7814400400)

👤
Provider Name / Credentials Updated January 03, 2017

Recorded as JORDAN MILLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2017

Counselor

🟢
Initial NPI Registration & Enumeration January 03, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548705403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2017
Last Update: August 30, 2017
Sole Proprietor: No

Mailing Address

41 Pacella Park Dr

Randolph, MA 023681755

Phone: 7814400400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.