Active NPI
Miranda Faith Piehler
- Professional Counselor
- Maple Grove, MN
National Provider Identifier
1538899646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 04681
- Practice address
- 11671 Fountains Dr Ste 200
Maple Grove, MN 55369-4784 - Phone
- (612) 223-8898
- NPI assigned
- Jun 13, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305433 | MN | |
| Professional Counselor | 101YP2500X | 04681 | MN | Primary |
Addresses
Primary practice location
11671 Fountains Dr Ste 200
Maple Grove, MN 55369-4784
Mailing address
7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Phone (612) 223-8898
Other practice location 1
204 W Franklin Ave
Minneapolis, MN 55404-2331
Phone (612) 227-2085
Other practice location 2
7601 Wayzata Blvd
Minneapolis, MN 55426-1626
Phone (612) 227-2085
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305433 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 04681 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1538899646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 WAYZATA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261623",
"telephone_number": "612-223-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11671 FOUNTAINS DR STE 200",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694784",
"telephone_number": "612-223-8898"
}
],
"practiceLocations": [
{
"address_1": "204 W Franklin Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554042331",
"country_code": "US",
"telephone_number": "612-227-2085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7601 Wayzata Blvd",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554261626",
"country_code": "US",
"telephone_number": "612-227-2085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIEHLER",
"first_name": "MIRANDA",
"middle_name": "FAITH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "305433",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "04681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.