Miranda Denise Bowman, MSHR CRC NCC LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13029 Issued in OK

Practice address

1013 15TH Ave. NE
Ardmore, OK 73401

Phone

(580) 238-4277

NPI assigned

Dec 4, 2019

Last updated

Oct 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Lynch Family Services LLCGroup PAC ID 0446584205, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lynch Family Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ardmore, OK
  • NPI 1568722379
  Medicare reassignment Care Compare group NPD
• Kaleidoscope Counseling, PLLC

  • Mental Health Counselor
  • Ardmore, OK
  • NPI 1235047457
  NPD (past) Authorized official
• Oklahoma Integrated Care PLC

  • Multi-Specialty Clinic/Center
  • Ardmore, OK
  • NPI 1316540495

  Counselor

  NPD (past)

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1215574603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3442 EDGEWOOD RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734017897",
            "telephone_number": "580-768-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 15TH AVE. NE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-238-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "MIRANDA",
        "middle_name": "DENISE",
        "credential": "MSHR CRC NCC LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "378639",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "13029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Bone, D.C.
• Lisa Diane Bonham, LPN
• Kimberly Boswell
• Sydney R Bowers, RBT
• Jessica Bowline
• Payton Box
• Kylie Boyd
• Braden Partners LP (Pacific Pulmonary Services)
• Drew Bradley
• Norman Bradsher, PT

• Professional Counselor in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.