Renee Theresa Mingus, MA LLP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6301011511 Issued in MI

Practice address

142 E Maumee St
Adrian, MI 49221-2735

Phone

(517) 263-2625

Fax

(517) 263-7369

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295857951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 BEECHWOOD DR",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492219497",
            "telephone_number": "517-789-7920",
            "fax_number": "517-787-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212735",
            "telephone_number": "517-263-2625",
            "fax_number": "517-263-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGUS",
        "first_name": "RENEE",
        "middle_name": "THERESA",
        "credential": "MA LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6301011511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracelyn Marie Miller
• Jacklyn Suzanne Miller, LLPC
• Jenna Rae Miller, OT
• Lisa Miller, LPN
• Amber Million, MASSAGE THERAPIST
• Marlayna Nicole Minnick
• Erica Mishka, LPT
• Mitchell Home Medical, Inc.
• Rogers L Mitchell Jr.
• Mobility Matters 360, Inc.

• Professional Counselor in Adrian, MI
• Providers in Adrian, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.