Mandy Lynn Miner, CAC/CAS, QMHA-II, TH

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACC.0021373 Issued in CO

Practice address

3400 W 16TH St Ste P
Greeley, CO 80634-6871

Phone

(970) 978-4386

Fax

(970) 888-3175

NPI assigned

Aug 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other names 1

• Ms. Mandy Lynn Cook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• McAlister Institute for Treatment & Education, Inc.

  dba East Teen Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Cajon, CA
  • NPI 1790090348

  Addiction (Substance Use Disorder)

  NPD (past)
• Reveille Foundation

  • Case Manager/Care Coordinator
  • Eugene, OR
  • NPI 1134883887

  Addiction (Substance Use Disorder)

  NPD (past)
• Serenity Lane

  • Substance Abuse Rehabilitation Facility
  • Coburg, OR
  • NPI 1104934892
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1730735028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W 16TH ST STE P",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346871",
            "telephone_number": "970-978-4386",
            "fax_number": "970-888-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 16TH ST STE P",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346871",
            "telephone_number": "970-978-4386",
            "fax_number": "970-888-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "MANDY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CAC/CAS, QMHA-II, TH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "24CRM3244",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "24-06-11159",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "24-QMHA-II-000264",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0021373",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "316485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "COOK",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "QMHA-II, CADC-I, THW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ian Michael Mincer I
• Sherry L Mincic, RPH
• Mindful Massage and Bodywork, LLC
• Mindset TMS, Inc
• Mindwise
• Allison Rose Miniter
• Elisa Minjarez, RBT
• Regina Danielle Minner
• Amber Dawn Miracle
• Todd Mirich, PT, DPT

• Addiction (Substance Use Disorder) Counselor in Greeley, CO
• Providers in Greeley, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.