Miranda Schunk, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC00839 Issued in MN

Practice address

41385 US Highway 71
Windom, MN 56101-3197

Phone

(507) 831-2090

Fax

(507) 831-0185

NPI assigned

Sep 11, 2014

Last updated

Sep 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwestern Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Luverne, MN
  • NPI 1487654562
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1013318823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41385 US HIGHWAY 71, PO BOX 353",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561013197",
            "telephone_number": "507-831-2090",
            "fax_number": "507-831-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41385 US HIGHWAY 71",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561013197",
            "telephone_number": "507-831-2090",
            "fax_number": "507-831-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUNK",
        "first_name": "MIRANDA",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanford Clinic (Sanford Health Windom Clinic Windom Area Health Campus)
• Sanford Health Network (Sanford Clinic Windom)
• Sanford Health Network (Lewis Family Drug #56)
• Sanford Healthcare Accessories, LLC (Sanford Health Equip)
• Sanford Home Health
• Michelle Seberson
• Shopko Stores Operating Co LLC (Shopko Pharmacy 750)
• Sioux Valley Clinic (Sioux Valley Clinic Glick Medical Clinic)
• Sarah Smith, OTR/L
• Stepping Stone Counseling, LLC

• Mental Health Counselor in Windom, MN
• Providers in Windom, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.