Healthcare Provider Details

I. General information

NPI: 1982933669
Provider Name (Legal Business Name): RACHAEL L MILLER LCPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2009
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 N STATE ST FL 14
CHICAGO IL
60654-2783
US

IV. Provider business mailing address

115 E OGDEN AVE STE 105327
NAPERVILLE IL
60563-3103
US

V. Phone/Fax

Practice location:
  • Phone: 312-709-0390
  • Fax:
Mailing address:
  • Phone: 312-709-0390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number180008926
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC0900165
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180008926
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: