NPIMap

Organization Active NPI

Anna Liedberg Miron LLC

  • Mental Health Counselor
  • Kalamazoo, MI
National Provider Identifier
1154947992
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANNA LIEDBERG MIRON LLC
Practice address
1010 Short Rd
Kalamazoo, MI 49008-1186
Phone
(269) 599-7907
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Anna Birgitta Liedberg Miron, MA, LPCNPI 1891184396
Title
Clinical Mental Health Counselor
Phone
(269) 599-7907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1010 Short Rd
Kalamazoo, MI 49008-1186

Mailing address

1010 Short Rd
Kalamazoo, MI 49008-1186
Phone (269) 599-7907

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1154947992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SHORT RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081186",
            "telephone_number": "269-599-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SHORT RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081186",
            "telephone_number": "269-599-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA LIEDBERG MIRON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "LIEDBERG MIRON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "BIRGITTA",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "269-599-7907",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.