Active NPI
Doreen T Miri, MA,LPC,NCC
- Professional Counselor
- Lawrenceville, NJ
National Provider Identifier
1386180263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00484500
- Practice address
- 3131 Princeton Pike
Building 2B, Suite 105
Lawrenceville, NJ 08648-2201 - Phone
- (609) 647-3556
- NPI assigned
- Jan 16, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00484500 | NJ | Primary |
Addresses
Primary practice location
3131 Princeton Pike
Building 2B, Suite 105
Lawrenceville, NJ 08648-2201
Mailing address
3131 Princeton Pike
Building 2B, Suite 105
Lawrenceville, NJ 08648-2201
Phone (609) 647-3556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37PC00484500 | Other | NJ | FOR BILLING COMPANIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 264-0023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00484500 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Therapy LLC | Professional | Current | Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1386180263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 PRINCETON PIKE",
"address_2": "BUILDING 2B, SUITE 105",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086482201",
"telephone_number": "609-647-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 PRINCETON PIKE",
"address_2": "BUILDING 2B, SUITE 105",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086482201",
"telephone_number": "609-647-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRI",
"first_name": "DOREEN",
"middle_name": "T",
"credential": "MA,LPC,NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-16",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00484500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FOR BILLING COMPANIES",
"identifier": "37PC00484500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.