Individual provider Active NPI

Miranda Rejoice New, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Gadsden, AL
National Provider Identifier
1669957635
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
4405G Issued in AL
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

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512001514 AL Practitioner - Clinical Social Worker 1254718240 Reassigns benefits to 1 organization

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
Kolbe Clinic LLCGroup PAC ID 4183925910, 7 clinicians

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

LicenseStateTypeSpecialty
4405GALMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kolbe Clinic LLC Addiction (Substance Use Disorder) CurrentSince May 3, 2022 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

Verify at the official NPI Registry.