Debora Cristina Chicungo Miranda, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH20363 Issued in FL

Practice address

9040 Royal Palm Blvd Apt W104
Coral Springs, FL 33065-5839

Phone

(520) 289-4688

NPI assigned

Feb 15, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mtca Psychological Services P.a.

  • Clinical Psychologist
  • North Miami Beach, FL
  • NPI 1740552322

  Single Specialty

  Medicare reassignment NPD
• Thriveworks Clinical - Florida Inc

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1396360996
  Medicare reassignment NPD

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1497400774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 ROYAL PALM BLVD APT W104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655839",
            "telephone_number": "520-289-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 ROYAL PALM BLVD APT W104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655839",
            "telephone_number": "520-289-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICUNGO MIRANDA",
        "first_name": "DEBORA",
        "middle_name": "CRISTINA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH20363",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Cherill
• Cheryl a. Lennard, PA
• Kimballee Cheung, BEHAVIOR ANALYST
• Sedney Michelle Chevalier
• Enrique Chiabrera
• Children First Community Homes and Services, Inc
• Children'S Therapy Services
• Children'S Therapy Zone, Inc
• Childrens Dentistry of America LLC
• Childrens Medical Association PA

• Mental Health Counselor in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.