Miranda Jo Villard, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2303541 Issued in OH

Practice address

6100 Oak Tree Blvd Ste 200
Independence, OH 44131-6914

Phone

(216) 309-0902

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/pathwayscounselingcenter/r4/

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.

• Miranda J Villard Counseling, LLC

  • Mental Health Counselor
  • Independence, OH
  • NPI 1245054790
  NPD Authorized official
• Pathways Counseling and Growth Center

  • Community/Behavioral Health Agency
  • Elyria, OH
  • NPI 1760450837

  Single Specialty

  NPD (past)
• Pathways Counseling and Growth Center

  • Community/Behavioral Health Agency
  • Grafton, OH
  • NPI 1801104799
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1477070142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 OAK TREE BLVD STE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316914",
            "telephone_number": "216-309-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 OAK TREE BLVD STE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316914",
            "telephone_number": "216-309-0902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1839 Pearl Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442123256",
            "country_code": "US",
            "telephone_number": "330-220-9679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLARD",
        "first_name": "MIRANDA",
        "middle_name": "JO",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.17400414",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Independence, OH
• Providers in Independence, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.