Active NPI
Mary Spahn Miracle, LPC
- Professional Counselor
- Cary, NC
National Provider Identifier
1114281367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9181
- Practice address
- 1901 N Harrison Ave
Suite 100
Cary, NC 27513-2410 - Phone
- (919) 677-0101
- Fax
- (919) 677-0113
- NPI assigned
- Jul 2, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9181 | NC | Primary |
Addresses
Primary practice location
1901 N Harrison Ave
Suite 100
Cary, NC 27513-2410
Mailing address
1901 N Harrison Ave
Suite 100
Cary, NC 27513-2410
Phone (919) 677-0101
Other names 1
- Ms. Mary Elizabeth Spahn
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9181 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3-C Family Services | Past | Accepting new patients | |
| 3-C Family Services, .P.a | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Cary, NC
- NPI 1629447685
-
- Child & Adolescent Psychiatry Physician
- Morrisville, NC
- NPI 1295756484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1114281367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 N HARRISON AVE",
"address_2": "SUITE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275132410",
"telephone_number": "919-677-0101",
"fax_number": "919-677-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N HARRISON AVE",
"address_2": "SUITE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275132410",
"telephone_number": "919-677-0101",
"fax_number": "919-677-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRACLE",
"first_name": "MARY",
"middle_name": "SPAHN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "9181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "SPAHN",
"middle_name": "ELIZABETH",
"prefix": "MS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.