Individual provider Active NPI

Miranda Harris Johns, LMHC

  • Mental Health Counselor
  • Winter Haven, FL
National Provider Identifier
1326209750
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12769 Issued in FL
Practice address
4100 Spirit Lake Rd Ste 4
Winter Haven, FL 33880-5081
Phone
(863) 258-6954
NPI assigned
Jun 18, 2008
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH12769 FL Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

4100 Spirit Lake Rd Ste 4
Winter Haven, FL 33880-5081

Mailing address

4100 Spirit Lake Rd Ste 4
Winter Haven, FL 33880-5081
Phone (863) 258-6954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH12769FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope in Healing LLC Mental Health CurrentSince Feb 23, 2020 Accepting new patients
Hope in Healing LLC Mental Health CurrentSince Aug 8, 2021 Accepting new patients
Families First of Florida, LLC PastSince Aug 8, 2021 Accepting new patients
Families First of Florida PastSince Aug 8, 2021 Accepting new patients
Families First of Florida PastSince Aug 8, 2021 Accepting new patients

Locations

4100 Spirit Lake Rd
Ste 4
Winter Haven, FL 33880
Phone (863) 258-6954

Organizations & group practices 5

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1326209750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SPIRIT LAKE RD STE 4",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338805081",
            "telephone_number": "863-258-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SPIRIT LAKE RD STE 4",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338805081",
            "telephone_number": "863-258-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "MIRANDA",
        "middle_name": "HARRIS",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12769",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.