Healthcare Provider Details

I. General information

NPI: 1083990238
Provider Name (Legal Business Name): RICHARD MILLER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2011
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 OLD NORTHFIELD RD
HINSDALE NH
03451-2531
US

IV. Provider business mailing address

PO BOX 3
HINSDALE NH
03451-0003
US

V. Phone/Fax

Practice location:
  • Phone: 201-380-1116
  • Fax:
Mailing address:
  • Phone: 201-380-1116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number28RW00369100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: