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

Lisa Chase-Miller

Individual provider Professional Counselor · NPI 1134898117

Lisa Chase-Miller is a Mental Health Counselor in Fairborn, Ohio. Qualified in 2022, 4 years ago. Practices with Decoach Team LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

302 W Main St
Fairborn, OH 45324-5037
Phone: (937) 281-4673
Fax: (937) 318-1120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E.2505021 (OH)
Professional Counselor Taxonomy 101YP2500X · Licence LICDC.162339 (OH)

Record details

NPI number1134898117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing address100 Crowne Point Pl, Cincinnati, OH 45241-5427

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Decoach Team Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairborn