Active NPI
Miranda Rachel Harris Lipscomb, M.S., P.L.P.C.
- Mental Health Counselor
- Springfield, MO
National Provider Identifier
1437403458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2012097391
- Practice address
- 1531 E Sunshine St
Suite W-29
Springfield, MO 65804-1240 - Phone
- (417) 887-9950
- NPI assigned
- Oct 29, 2012
- Last updated
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 2012097391 | MO | Primary |
Addresses
Primary practice location
1531 E Sunshine St
Suite W-29
Springfield, MO 65804-1240
Mailing address
2222 S Inglewood Rd
Springfield, MO 65804-2835
Phone (417) 827-2878
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012097391 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1437403458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S INGLEWOOD RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042835",
"telephone_number": "417-827-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 E SUNSHINE ST",
"address_2": "SUITE W-29",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658041240",
"telephone_number": "417-887-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSCOMB",
"first_name": "MIRANDA",
"middle_name": "RACHEL HARRIS",
"name_prefix": "Mrs.",
"credential": "M.S., P.L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-29",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2012097391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.