Individual provider Active NPI

Miriam Cardona, LPCC

  • Mental Health Counselor
  • West Chester, OH
National Provider Identifier
1083071450
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1100463 Issued in OH
Practice address
8080 Beckett Center Dr Ste 301
West Chester, OH 45069-5040
Phone
(513) 500-7510
Fax
(513) 755-7341
NPI assigned
Jan 15, 2016
Last updated
Oct 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.1100463 OH Primary

Addresses

Primary practice location

8080 Beckett Center Dr Ste 301
West Chester, OH 45069-5040

Mailing address

8369 Polo Trail PL
West Chester, OH 45069-2762
Phone (513) 500-7510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.1100463OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1083071450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8369 POLO TRAIL PL",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692762",
            "telephone_number": "513-500-7510",
            "fax_number": "513-755-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BECKETT CENTER DR STE 301",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695040",
            "telephone_number": "513-500-7510",
            "fax_number": "513-755-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "MIRIAM",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1100463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.