Miranda Pool, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5125 Issued in TN

Practice address

2021 21St Ave S Ste 426
Nashville, TN 37212-4350

Phone

(615) 475-7045

NPI assigned

Sep 13, 2022

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1407578818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 STAINBACK AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372075163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 21ST AVE S STE 426",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124350",
            "telephone_number": "615-475-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "MIRANDA",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ponte Vitae Bridge to Life Healthcare Inc
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• Matthew Pontell, M.D.
• Gwen Aileen Pontikes
• John Michael Ponting, M.D.
• Len Poole, HIS
• Traci Michelle Poole, PHARM.D.
• Caitlin Pooley, LPC-MHSP, NCC
• Meredith Adeline Pooley
• Sabrina Poon, M.D.

• Professional Counselor in Nashville, TN
• Providers in Nashville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.