Miranda R Meola, LCDC III

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Practice address

1484 State Route 46 N
Suite 7
Jefferson, OH 44047-8145

Phone

(440) 624-4033

Fax

(440) 624-4086

NPI assigned

Jun 4, 2014

Last updated

Jun 4, 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

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.

• Etv. LLC

  dba Independent Solutions

  • Substance Abuse Rehabilitation Facility
  • Jefferson, OH
  • NPI 1750783767
  NPD (past)

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1104239466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 W PROSPECT RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046674",
            "telephone_number": "440-344-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 STATE ROUTE 46 N",
            "address_2": "SUITE 7",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440478145",
            "telephone_number": "440-624-4033",
            "fax_number": "440-624-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEOLA",
        "first_name": "MIRANDA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCDC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta L Lingo
• George Jennings Mansfield
• Julia Marie Mansfield
• Jenny Marie Marioth, L.P.N.
• Elaine M. Marlowe, PH.D.,LPCC
• Camille Marie Miklacic, LPN
• Lynne Miner
• Kristi Mullen
• Jillian Marie Murton, LPN
• Carrie Lynn O'Brien, LPN

• Substance Abuse Rehabilitation Facility in Jefferson, OH
• Providers in Jefferson, OH by specialty
• Substance Abuse Rehabilitation Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.