Active NPI
Haley Mirich, MS, CCC- SLP
- Speech-Language Pathologist
- Casper, WY
National Provider Identifier
1093421612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1149
- Practice address
- 915 S McKinley St
Casper, WY 82601-3440 - Phone
- (307) 277-1283
- Fax
- (307) 337-1279
- NPI assigned
- Jan 26, 2023
- Last updated
- Jan 4, 2024
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1149 | WY | Primary |
Addresses
Primary practice location
915 S McKinley St
Casper, WY 82601-3440
Mailing address
PO Box 382
Casper, WY 82602-0382
Phone (307) 277-1283
Other practice location 1
333 S Beech St
Casper, WY 82601-2805
Phone (307) 277-1283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
606 S David St
Casper, WY 82601-3136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1149 | WY | MD | Dentist |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Casper, WY
- NPI 1104651587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1093421612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382",
"city": "CASPER",
"state": "WY",
"postal_code": "826020382",
"telephone_number": "307-277-1283",
"fax_number": "307-277-1283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 S MCKINLEY ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826013440",
"telephone_number": "307-277-1283",
"fax_number": "307-337-1279"
}
],
"practiceLocations": [
{
"address_1": "333 S Beech St",
"address_purpose": "LOCATION",
"city": "Casper",
"state": "WY",
"postal_code": "826012805",
"country_code": "US",
"telephone_number": "307-277-1283",
"fax_number": "307-337-1279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRICH",
"first_name": "HALEY",
"credential": "MS, CCC- SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WY",
"license": "1149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.