IndividualActive
Charles Miyamoto, REV.; LPC
NPI 1508204066 · Professional Counselor · Evanston, IL
Provider details
- NPI number
- 1508204066
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- REV.; LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 178.008311 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1427 Chicago Ave
Evanston, IL 60201-4726
Phone: (847) 864-9133
Street-level locationGet directions
Mailing address
1427 Chicago Ave
Evanston, IL 60201-4726
Registry dates
- Enumerated
- 2013-06-06
- Last updated
- 2013-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.