Active NPI
Miranda Gill
- Marriage & Family Therapist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 294359
- Practice address
- 1255 Providence Place Pkwy Ste 115
Lexington, KY 40511-8379 - Phone
- (216) 468-5000
- NPI assigned
- Jul 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 294359 | KY | Primary |
Addresses
Primary practice location
1255 Providence Place Pkwy Ste 115
Lexington, KY 40511-8379
Mailing address
102 River Dr
Irvine, KY 40336-1118
Phone (606) 717-1024
Other practice location 1
110 River Dr
Irvine, KY 40336-1118
Phone (606) 717-1024
Other practice location 2
1351 Newtown Pike
Lexington, KY 40511-1275
Phone (859) 253-1686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 Providence LN
Suite 115
Lexington, KY 40502-2380
Phone (216) 468-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294359 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health Group, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Psychological & Behavioral Consultants, LLC | Current | Accepting new patients | |
| Endeavor Health, PLLC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
102 River Dr
Irvine, KY 40336
Phone (606) 614-8081
110 River Dr
Irvine, KY 40336
Phone (606) 717-1024
1255 Providence Place Pkwy
Ste 115
Lexington, KY 40511
Phone (859) 214-7440
312 S 4th St
Louisville, KY 40202
Phone (502) 213-5590
100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Irvine, KY
- NPI 1952047193
Marriage & Family Therapist
-
- Psychiatric/Mental Health Nurse Practitioner
- Irvine, KY
- NPI 1215733720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1073167706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 RIVER DR",
"city": "IRVINE",
"state": "KY",
"postal_code": "403361118",
"telephone_number": "606-717-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 PROVIDENCE PLACE PKWY STE 115",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405118379",
"telephone_number": "216-468-5000"
}
],
"practiceLocations": [
{
"address_1": "110 River Dr",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "KY",
"postal_code": "403361118",
"country_code": "US",
"telephone_number": "606-717-1024",
"fax_number": "606-717-1048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1351 Newtown Pike",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405111275",
"country_code": "US",
"telephone_number": "859-253-1686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILL",
"first_name": "MIRANDA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-31",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "294359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790731081",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.