Individual provider Active NPI

Miranda Mary Dordan, MASTERS DEGREE

  • Mental Health Counselor
  • Anchorage, AK
National Provider Identifier
1164213419
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1231 Gambell St
Anchorage, AK 99501-4664
Phone
(907) 563-1000
Fax
(907) 563-2045
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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 Primary

Addresses

Primary practice location

1231 Gambell St
Anchorage, AK 99501-4664

Mailing address

1231 Gambell St
Anchorage, AK 99501-4664
Phone (907) 563-1000

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

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1164213419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 GAMBELL ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995014664",
            "telephone_number": "907-563-1000",
            "fax_number": "907-563-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 GAMBELL ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995014664",
            "telephone_number": "907-563-1000",
            "fax_number": "907-563-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORDAN",
        "first_name": "MIRANDA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MASTERS DEGREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.