Active NPI
Miranda Rejoice New, LMSW
- Addiction (Substance Use Disorder) Counselor
- Gadsden, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4405G
- Practice address
- 1121 Gardner St
Gadsden, AL 35901-3038 - Phone
- (256) 549-0807
- NPI assigned
- Sep 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4405G | AL | Primary |
Addresses
Primary practice location
1121 Gardner St
Gadsden, AL 35901-3038
Mailing address
649 Dewey Ave
Attalla, AL 35954-3230
Phone (256) 601-7660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Alabama School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1830 Montclair Rd
Suite a
Irondale, AL 35210-2645
Phone (205) 775-0300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4405G | AL | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kolbe Clinic LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
109 Foothills Pkwy
Ste 113
Chelsea, AL 35043
Phone (205) 451-9742
1830 Montclair Rd
Ste A
Irondale, AL 35210
Phone (205) 775-0300
80 Herren Hill Rd
Ste C
Tallassee, AL 36078
Phone (205) 882-7007
2121 9th St
Ste C
Tuscaloosa, AL 35401
Phone (205) 764-1358
Organizations & group practices 1
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": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1669957635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 DEWEY AVE",
"city": "ATTALLA",
"state": "AL",
"postal_code": "359543230",
"telephone_number": "256-601-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 GARDNER ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359013038",
"telephone_number": "256-549-0807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEW",
"first_name": "MIRANDA",
"middle_name": "REJOICE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AL",
"license": "4405G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.