Miranda Elizabeth Allen, NCPSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

2022-6851-01 Issued in NC

Practice address

4010 Littlejohn Church Rd
Lenoir, NC 28645-8563

Phone

(828) 201-0210

NPI assigned

Jun 13, 2022

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

Other names 1

• Miranda Elizabeth Bach Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1396475372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 DOGWOOD ST",
            "city": "HUDSON",
            "state": "NC",
            "postal_code": "286382303",
            "telephone_number": "828-201-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 LITTLEJOHN CHURCH RD",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286458563",
            "telephone_number": "828-201-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MIRANDA",
        "middle_name": "ELIZABETH",
        "credential": "NCPSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NC",
            "license": "2022-6851-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miranda@ajaya.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4010 Littlejohn Church Rd",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286458563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "BACH",
            "middle_name": "ELIZABETH",
            "credential": "NCPSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Savannah Aldridge
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• Alexander Youth Network of Lenoir
• Allegiant Home Care Agency LLC
• Austin Scott Allen, DDS
• Stephanie Shannon Morgan Alm, M.D.
• Alpha & Omega Supportive Services Inc
• Ronald Amaker, O.D.
• Gary L Amos, CRNA
• Caisey Anderson, LAT, ATC

• Peer Specialist in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.