Miranda Ross Palmer, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-3797 Issued in ID

Practice address

429 SW 5TH Ave Ste 110
Meridian, ID 83642-5037

Phone

(208) 490-2234

NPI assigned

Apr 3, 2023

Last updated

Apr 3, 2023By 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

State licenses

Practice roles

Locations

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.

• Miranda Palmer LLC

  • Community/Behavioral Health Agency
  • Meridian, ID
  • NPI 1235908930
  NPD Authorized official

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1053016600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 W MANORWOOD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837043555",
            "telephone_number": "208-409-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 SW 5TH AVE STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425037",
            "telephone_number": "208-490-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MIRANDA",
        "middle_name": "ROSS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-3797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara M Palma, RN
• Francis F Palmer, MD
• Kristina Larae Palmer, LCPC CEDS
• Kyle L Palmer, MD
• Miranda Kathleen Palmer, LMSW
• Rylee Palmer
• Dennis Reuben Palnikov, PHARMD
• Melissa Marie Pannell, RN FNP-BC
• Kirk Emil Paolinelli Jr., FNP
• Michael Pappas

• Professional Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.