Individual provider Active NPI

Miranda Normandin

  • Marriage & Family Therapist
  • Topeka, KS
National Provider Identifier
1750159828
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT03253 Issued in KS
Practice address
5401 SW 7TH St
Topeka, KS 66606-2330
Phone
(785) 273-2252
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT03253 KS Primary

Addresses

Primary practice location

5401 SW 7TH St
Topeka, KS 66606-2330

Mailing address

5401 SW 7TH St
Topeka, KS 66606-2330

Other names 1

  • Miranda Briscore Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111004034 KS Practitioner - Marriage and Family Therapist 5395196554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT03253KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Mental Health and Recovery, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Astra Mental Health and Recovery, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients

Locations

2401 SW 6th Ave
Topeka, KS 66606
Phone (785) 273-2252

5401 SW 7th St
Topeka, KS 66606
Phone (785) 273-2252

Organizations & group practices 3

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1750159828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SW 7TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 SW 7TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062330",
            "telephone_number": "785-273-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMANDIN",
        "first_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "LMFT03253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "BRISCORE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.