Individual provider Active NPI

Yasmin Miranda

  • Mental Health Counselor
  • Devon, PA
National Provider Identifier
1285121616
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC016994 Issued in PA
Practice address
235 W Lancaster Ave
Devon, PA 19333-1560
Phone
(484) 654-9900
NPI assigned
Apr 20, 2018
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC14902 MD
Mental Health Counselor 101YM0800X PC016994 PA Primary
Mental Health Counselor 101YM0800X MH14584 FL

Addresses

Primary practice location

235 W Lancaster Ave
Devon, PA 19333-1560

Mailing address

1513 Sawtimber TRL
West Chester, PA 19380-1597
Phone (813) 217-3747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250602002197 PA Practitioner - Mental Health Counselor 9537688999 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH14584FLMDMental Health Counselor
LC14902MDMDMental Health Counselor
PC016994PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Telebehavioral Health US CurrentSince May 22, 2025 Accepting new patients
Paladin Therapy Mental Health CurrentSince Oct 21, 2025 Accepting new patients

Locations

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

6220 Belmont Ave NE
Unit 26
Belmont, MI 49306

502 W 7th St
Ste 100
Erie, PA 16502
Phone (215) 258-4243

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1285121616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 SAWTIMBER TRL",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801597",
            "telephone_number": "813-217-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W LANCASTER AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331560",
            "telephone_number": "484-654-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "YASMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC14902",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016994",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devon, PA

Sources for this page

Verify at the official NPI Registry.