Active NPI
Miranda McDonald
- Professional Counselor
- Derby, KS
National Provider Identifier
1740911379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 04061
- Practice address
- 1721 E Osage Rd Ste 300
Derby, KS 67037-2290 - Phone
- (316) 247-3161
- NPI assigned
- Jun 23, 2022
- Last updated
- Apr 28, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 04061 | KS | Primary |
Addresses
Primary practice location
1721 E Osage Rd Ste 300
Derby, KS 67037-2290
Mailing address
1721 E Osage Rd Ste 100
Derby, KS 67037-2198
Phone (316) 247-3161
Other names 1
- Miranda Brouk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1721 E Osage Rd
Suite 100
Derby, KS 67037-2198
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04061 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoring Hope Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
1721 E Osage Rd
Ste 100
Derby, KS 67037
Phone (316) 206-3111
1721 E Osage Rd
Ste 300
Derby, KS 67037
Phone (316) 247-3161
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1740911379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 E OSAGE RD STE 100",
"city": "DERBY",
"state": "KS",
"postal_code": "670372198",
"telephone_number": "316-247-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 E OSAGE RD STE 300",
"city": "DERBY",
"state": "KS",
"postal_code": "670372290",
"telephone_number": "316-247-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MIRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "04061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIRANDA",
"last_name": "BROUK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.