Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Roth Miller, MA, LPCC

Individual provider Professional Counselor · NPI 1659724086

Charles Roth Miller, MA, LPCC is a Mental Health Counselor in Stillwater, Minnesota. Qualified in 2019, 7 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

216 Myrtle St W Unit 2163
Stillwater, MN 55082-3545
Phone: (612) 702-5432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC03151 (MN)

Record details

NPI number1659724086
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPCC
Sole proprietorNo
NPI enumeratedJuly 21, 2016
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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