Mirandi Jean Edwards, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

76383 Issued in TX

Practice address

4601 66TH St Ste D
Lubbock, TX 79414-4875

Phone

(806) 630-0126

Fax

(806) 722-5225

NPI assigned

Feb 14, 2019

Sex

Female

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

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Nicole Black PHD LPC-S LCDC RPT PLLCGroup PAC ID 6901330513, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Dr. Nicole Black, PHD, LPC-S, LCDC, RPT PLLC

  • Professional Counselor
  • Lubbock, TX
  • NPI 1780270173
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1760948731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BORGER ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790726147",
            "telephone_number": "806-292-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 66TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144875",
            "telephone_number": "806-630-0126",
            "fax_number": "806-722-5225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Borger St",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "TX",
            "postal_code": "790726147",
            "country_code": "US",
            "telephone_number": "806-292-2788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MIRANDI",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Sanjeev Edwards, M.D.
• Emily Edwards, MS SLP INTERN
• Jonathan F Edwards, LPC
• Katie Edwards, M.S., C.C.C.-SLP
• Kinsey Edwards, FNP
• Samuel Edwards, MD
• William Benjamin Edwards, M.D.
• Maksim Efremov
• Ugonna C Egbuchulam
• Travis Daniel Eggl, D.O.

• Mental Health Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.
• 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.

Verify at the official NPI Registry.