Active NPI
Miranda Middleton, L.P.C.
- Professional Counselor
- Lakewood, CO
National Provider Identifier
1710298492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5702
- Practice address
- 777 S Wadsworth Blvd
BLDG#2, Suite 205
Lakewood, CO 80226-4300 - Phone
- (720) 373-9352
- NPI assigned
- Jun 28, 2010
- Last updated
- Jan 23, 2014
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5702 | CO | Primary |
Addresses
Primary practice location
777 S Wadsworth Blvd
BLDG#2, Suite 205
Lakewood, CO 80226-4300
Mailing address
1875 Glen Dale Dr
Lakewood, CO 80215-3017
Phone (720) 373-9352
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 |
|---|---|---|---|
| 5702 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1710298492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 GLEN DALE DR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802153017",
"telephone_number": "720-373-9352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 S WADSWORTH BLVD",
"address_2": "BLDG#2, SUITE 205",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802264300",
"telephone_number": "720-373-9352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "MIRANDA",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "5702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
- Kenisha Michel
- Michelle Kerska, Bcba, PC
- Cynthia Mick, PTA
- Cheyenne Michelle Mickelson, BCBA
- Middle Counseling and R C PLLC (The Middle Counseling and Reflective S/C, PLLC)
- Marcia Lynn Mielke, PA-C
- Katrina Mierkey, CPNP
- Laura Mifflin
- Mighty Milestones Pediatric Physical Therapy
- Joanna Mikhailov, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.