Active NPI
Alexandra Miranda, LMHC
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1700411915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012309
- Practice address
- 36 Waverly Ave Ste 407
Brooklyn, NY 11205-1240 - Phone
- (347) 395-6180
- NPI assigned
- Mar 9, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 012309 | NY | Primary |
Addresses
Primary practice location
36 Waverly Ave Ste 407
Brooklyn, NY 11205-1240
Mailing address
36 Waverly Ave Ste 407
Brooklyn, NY 11205-1240
Phone (347) 395-6180
Other practice location 1
353 Lexington Avenue
Suite 300 Office 7
New York, NY 10016-0941
Phone (336) 971-7828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007550783 | Other | NY | UNITEDHEALTHCARE |
Other names 1
- Alexandra Huston-Lyons
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 |
|---|---|---|---|
| 012309 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moxie Mental Health Counseling | Mental Health | Current | Accepting new patients |
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.
-
- Mental Health Counselor
- New York, NY
- NPI 1568292233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1700411915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 WAVERLY AVE STE 407",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051240",
"telephone_number": "347-395-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 WAVERLY AVE STE 407",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051240",
"telephone_number": "347-395-6180"
}
],
"practiceLocations": [
{
"address_1": "353 Lexington Avenue",
"address_2": "Suite 300 Office 7",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100160941",
"country_code": "US",
"telephone_number": "336-971-7828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRANDA",
"first_name": "ALEXANDRA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "012309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "007550783",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "HUSTON-LYONS",
"credential": "LMHC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.