Carol S Mirus

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN56361-2 Issued in FL

Practice address

1103 Fortune Ave
Panama City, FL 32401-1831

Phone

(850) 769-6188

Fax

(850) 769-1261

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Suzette Smith LCSW Inc

  • Clinical Social Worker
  • Panama City, FL
  • NPI 1023339579
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194889790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 FORTUNE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011831",
            "telephone_number": "850-769-6188",
            "fax_number": "850-769-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 FORTUNE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011831",
            "telephone_number": "850-769-6188",
            "fax_number": "850-769-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRUS",
        "first_name": "CAROL",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1140",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN56361-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z2167",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Nicole Milstead, M.D.
• Jamie Justine Miltenberger, CRNA
• Mind Matters Therapeutic Services
• Mindrest Psychiatry
• Todd E. Minga, M.D.
• Misal Khan,M.D. FRCS(Ed) P.a.
• Misti Keen, LMHC, Cap Inc
• Ashlie N Mitchell
• Isaac L Mitchell, M.D.
• Melissa Mitchell

• Psychiatric/Mental Health Registered Nurse in Panama City, FL
• Providers in Panama City, FL by specialty
• Psychiatric/Mental Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.