Miranda Slater, LCMHC, LCAS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

A10746 Issued in NC

Practice address

4006 Oleander Dr Ste 204
Wilmington, NC 28403-6808

Phone

(910) 367-5089

Fax

(910) 756-4424

NPI assigned

Aug 3, 2015

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

Medicare fee-for-service enrollment

Enrolled in NC

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Behavioral Resources PCGroup PAC ID 7911316435, 8 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 and National Provider Directory roles.

• Triad Behavioral Resources PC

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1336292556
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1245616259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ADELE CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123166",
            "telephone_number": "910-616-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 OLEANDER DR STE 204",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036808",
            "telephone_number": "910-367-5089",
            "fax_number": "910-756-4424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 N 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284014537",
            "country_code": "US",
            "telephone_number": "910-765-1003",
            "fax_number": "910-765-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATER",
        "first_name": "MIRANDA",
        "name_prefix": "Ms.",
        "credential": "LCMHC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20590",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A10746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Michael Skoblar, PSY.D.
• Martha Skountzos
• Korah Schaffert Skuce, LCSW
• Farah Haleema Slaczka, MD
• Mateusz Slaczka, MD
• Charlotte Grace Slaughter, MD
• Amy Louise Slayton, LCSW-A
• Sleepcare of Wilmington LLC
• Sleepmed Therapies Inc
• Sleepmed Therapies, Inc.

• Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.