Individual provider Active NPI

Miranda K Linville, MA, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1619447307
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002723A Issued in IN
Practice address
9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817
Phone
(317) 731-2257
Fax
(317) 953-7149
NPI assigned
Nov 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002723A IN Primary

Addresses

Primary practice location

9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817

Mailing address

9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817
Phone (317) 731-2257

Other identifiers 2

IdentifierTypeStateIssuer
39002723AOtherINSTATE LICENSE
E.2404383OtherOHSTATE LICENSE

Other names 1

  • Miranda K Winstead Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20240523001707 IN Practitioner - Mental Health Counselor 0244672145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9465 Counselors Row
Suite 200
Indianapolis, IN 46240-3817
Phone (317) 731-2257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Be Authentic Indy LLC CurrentSince May 13, 2024 Accepting new patients
Geeky Minds Counseling, LLC Mental Health CurrentSince Apr 7, 2025 Accepting new patients

Locations

8606 Allisonville Rd
Ste 120
Indianapolis, IN 46250
Phone (317) 548-8895

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1619447307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9465 COUNSELORS ROW STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403817",
            "telephone_number": "317-731-2257",
            "fax_number": "317-953-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9465 COUNSELORS ROW STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403817",
            "telephone_number": "317-731-2257",
            "fax_number": "317-953-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINVILLE",
        "first_name": "MIRANDA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002723A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "39002723A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E.2404383",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "WINSTEAD",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.