Miracleworks Therapy & Consulting PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIRACLEWORKS THERAPY & CONSULTING PLLC

Practice address

51 E 14TH St
Chicago, IL 60605-2837

Phone

(872) 228-5573

NPI assigned

Oct 18, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Miracle Donique Montgomery, LCSWNPI 1659527927

Title

Psychotherapist

Phone

(310) 849-4786

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Miracle Donique Montgomery, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1659527927
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1215536693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E 14TH ST APT 1008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052998",
            "telephone_number": "310-849-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 14TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052837",
            "telephone_number": "872-228-5573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2138 S Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606164930",
            "country_code": "US",
            "telephone_number": "310-849-4786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRACLEWORKS THERAPY & CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-18",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MIRACLE",
        "authorized_official_middle_name": "DONIQUE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "310-849-4786",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MAILING",
            "affiliation": "N",
            "address_1": "51 E 14th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606052837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nigah Mir
• Ranim Mira
• Karlie Mirabelli, PHD, LCP
• Miracles of Life Day Services Inc.
• Miracleworks Therapy & Consulting Inc
• Frank Miralles, MD
• Ofelia S. Miran, LCPC
• Jennifer Miranda Martinez, LPC
• Miranda Works
• Renee Miranda-Beristain, LCPC, NCC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.