Miranda L Short, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00733500 Issued in NJ

Practice address

636 Kings Hwy Ste C
West Deptford, NJ 08096-3164

Phone

(856) 644-4154

NPI assigned

Aug 29, 2023

Last updated

Apr 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1558146407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 FRANKLIN CORNER RD APT C6",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482507",
            "telephone_number": "606-733-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 KINGS HWY STE C",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963164",
            "telephone_number": "856-644-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "MIRANDA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00733500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seto Medical Providers,LLC (Seto Medical Providers)
• Nicole Paige Sgouros, FNP-C
• Christine Sheehan, DO
• Michael Sheehan, PT
• Kelly Shope, MA,LPC
• Jamie M Sikora, APN
• David Michael Sileo, RN MS ACNP-BC
• Paul A. Simons, DDS
• Bradley J Smith, MD
• SNJ Recovery Center LLC

• Mental Health Counselor in West Deptford, NJ
• Providers in West Deptford, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.