Individual provider Active NPI

Miranda Marts

  • Mental Health Counselor
  • Bradenton, FL
National Provider Identifier
1841706827
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3850 E State Road 64
Bradenton, FL 34208-9040
Phone
(941) 748-2697
NPI assigned
Dec 28, 2017
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3850 E State Road 64
Bradenton, FL 34208-9040

Mailing address

15550 Bellamar Cir Unit 1612
Fort Myers, FL 33908-3438
Phone (239) 834-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250715000688 FL Practitioner - Mental Health Counselor 6608381066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Align LLCGroup PAC ID 5092153478, 2 clinicians
Magdan LLCGroup PAC ID 1052774528, 2 clinicians

Practice addresses (Care Compare)

209 Nassau St S
Suite 102
Venice, FL 34285-2358
Phone (888) 830-7849

4519 Tilton CT
Fort Myers, FL 33907-1214
Phone (239) 372-6141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Align LLC CurrentSince May 11, 2025 Accepting new patients
Sean Higgins, DC, PA CurrentSince May 11, 2025 Accepting new patients
Kin-Ship Services, Inc. Mental Health CurrentSince May 7, 2024 Accepting new patients

Locations

3850 E State Road 64
Bradenton, FL 34208
Phone (941) 661-8889

1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849

209 Nassau St S
Ste 102
Venice, FL 34285
Phone (888) 830-7849

Organizations & group practices 4

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": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1841706827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 BELLAMAR CIR UNIT 1612",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083438",
            "telephone_number": "239-834-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089040",
            "telephone_number": "941-748-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTS",
        "first_name": "MIRANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.