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

Charles S Miyamoto, REV, LPC

Individual provider Professional Counselor · NPI 1508204066

Charles S Miyamoto, REV, LPC is a Professional Counselor in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1427 Chicago Ave
Evanston, IL 60201-4726
Phone: (847) 864-9133
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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 178.008311 (IL)

Record details

NPI number1508204066
Entity typeIndividual (Type 1)
GenderMale
Credentials REV , LPC
Sole proprietorNo
NPI enumeratedJune 6, 2013
Last updated in NPPESOctober 21, 2013

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