Active NPI
Miranda Chilcot
- Mental Health Counselor
- State College, PA
National Provider Identifier
1376413815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 270 Walker Dr Ste 100W-a
State College, PA 16801-7097 - Phone
- (814) 442-9072
- NPI assigned
- Nov 10, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
270 Walker Dr Ste 100W-a
State College, PA 16801-7097
Mailing address
270 Walker Dr Ste 100W-a
State College, PA 16801-7097
Phone (814) 308-0159
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1376413815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 WALKER DR STE 100W-A",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017097",
"telephone_number": "814-308-0159",
"fax_number": "814-308-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 WALKER DR STE 100W-A",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017097",
"telephone_number": "814-442-9072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILCOT",
"first_name": "MIRANDA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-11-10",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.