Provider Demographics
NPI:1316159726
Name:MISLER, JOEL MARK (LPC)
Entity type:Individual
Prefix:MR
First Name:JOEL
Middle Name:MARK
Last Name:MISLER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 WINDING CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-8229
Mailing Address - Country:US
Mailing Address - Phone:828-255-0444
Mailing Address - Fax:
Practice Address - Street 1:50 REDDICK RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2717
Practice Address - Country:US
Practice Address - Phone:828-298-0186
Practice Address - Fax:828-298-4870
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC537101YA0400X
NC687101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103685Medicaid