Individual provider Active NPI

Miracle Mitchell, LPC

  • Professional Counselor
  • Tallulah, LA
National Provider Identifier
1730586173
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1951 Issued in MS
Practice address
805 N Beech St Ste 2
Tallulah, LA 71282-3809
Phone
(318) 493-5147
Fax
(318) 493-5148
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1951 MS Primary

Addresses

Primary practice location

805 N Beech St Ste 2
Tallulah, LA 71282-3809

Mailing address

103 Granite Way
Vicksburg, MS 39183-6952
Phone (601) 826-9947

Other identifiers 1

IdentifierTypeStateIssuer
08532364MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250304001256 LA Practitioner - Mental Health Counselor 8426579772 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1951MSMDProfessional Counselor
6231LAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Beginning Solutions, LLC Professional CurrentSince Jan 13, 2025 Accepting new patients
Inquiring Minds Behavioral Health & Consulting Professional CurrentSince May 17, 2018 Accepting new patients

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": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1730586173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 GRANITE WAY",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391836952",
            "telephone_number": "601-826-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N BEECH ST STE 2",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712823809",
            "telephone_number": "318-493-5147",
            "fax_number": "318-493-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MIRACLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08532364",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

Verify at the official NPI Registry.