Dan Miranda, MS, LCADC, CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00315000 Issued in NJ

Practice address

1322 Route 72 W Ste 202a
Stafford Township, NJ 08050-2486

Phone

(561) 676-1634

NPI assigned

Oct 19, 2021

Last updated

Oct 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 17, 2026 through Mar 17, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Gia19

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Stafford Township, NJ
  • NPI 1083507982
  NPD
• Shore Break Recovery

  • Adult Mental Health Clinic/Center
  • Somers Point, NJ
  • NPI 1407438823
  NPD

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1740943539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ROUTE 72 W STE 202A",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502486",
            "telephone_number": "561-676-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ROUTE 72 W STE 202A",
            "city": "STAFFORD TOWNSHIP",
            "state": "NJ",
            "postal_code": "080502486",
            "telephone_number": "561-676-1634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Mathistown Rd Unit 212",
            "address_purpose": "LOCATION",
            "city": "Little Egg Harbor Twp",
            "state": "NJ",
            "postal_code": "080874062",
            "country_code": "US",
            "telephone_number": "561-676-1634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "DAN",
        "name_prefix": "Mr.",
        "credential": "MS, LCADC, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00315000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation (Costco Optical #1025)
• Gia19
• Maria Celina Gomez
• Rasha Hamid Numan Saleh, MD
• Inner Peace With Christina
• Kolawole Olukayode Olugbade Jr., M.D.
• Imani J Rosario, M.D.
• Ashraf Saleem, MD
• Danielle R. Trapani, LSW
• Patricia A Usewicz, DPM

• Addiction (Substance Use Disorder) Counselor in Stafford Township, NJ
• Providers in Stafford Township, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.