Active NPI
Karyn Ann Miracle, LCMHCA
- Mental Health Counselor
- Sneads Ferry, NC
National Provider Identifier
1780443192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A19838
- Practice address
- 123 Bridgeport Dr
Sneads Ferry, NC 28460-1060 - Phone
- (910) 330-9719
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A19838 | NC | Primary |
Addresses
Primary practice location
123 Bridgeport Dr
Sneads Ferry, NC 28460-1060
Mailing address
123 Bridgeport Dr
Sneads Ferry, NC 28460-1060
Phone (910) 330-9719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A19838 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1780443192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 BRIDGEPORT DR",
"city": "SNEADS FERRY",
"state": "NC",
"postal_code": "284601060",
"telephone_number": "910-330-9719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 BRIDGEPORT DR",
"city": "SNEADS FERRY",
"state": "NC",
"postal_code": "284601060",
"telephone_number": "910-330-9719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRACLE",
"first_name": "KARYN",
"middle_name": "ANN",
"credential": "LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A19838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sneads Ferry, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.