Louise E. Miracle, PH.D., HSPP, INC.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20040642A Issued in IN

Practice address

2525 W. Vernal Pike
Bloomington, IN 47404

Phone

(812) 339-4877

Fax

(812) 339-4877

NPI assigned

Jul 14, 2006

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 30, 2016 through Aug 30, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Louise Miracle, PHD, HSPP, Inc.

  • Psychologist
  • Bloomington, IN
  • NPI 1629229323
  NPD (past) Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1477579290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3155",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47402",
            "telephone_number": "812-339-4877",
            "fax_number": "812-339-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W. VERNAL PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47404",
            "telephone_number": "812-339-4877",
            "fax_number": "812-339-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRACLE",
        "first_name": "LOUISE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D., HSPP, INC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040642A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilia Jane Mills
• Rana Mills
• Mindi Wisker-Tindall Counseling Services LLC
• Katelyn J Minelli, MMFT
• Kayla Minniear, DC
• Rory F Miranda, MD
• Julie Mirise
• Debra L J Mishler, MSW, LCSW
• Clifford A. Mitcheff, D.O.
• Courtney Mitchell, NP-C

• Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.