Miranda Dean-Denison

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2021009223 Issued in MO

Practice address

PO Box 902079
Kansas City, MO 64190-2079

Phone

(818) 357-5563

NPI assigned

Oct 20, 2021

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Denison Psychological Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
  • NPI 1598559270
  NPD Authorized official

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1861155475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902079",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641902079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 902079",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641902079",
            "telephone_number": "818-357-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN-DENISON",
        "first_name": "MIRANDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2021009223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wylie Craig De Vera, MD
• Deaconess Long Term Care of Missouri, Inc.
• Deaconess Long Term Care of Missouri, Inc.
• Amanda Drews Deacy, PHD
• Addia Deallie, MD
• Dereck Dean, LMSW
• Drew Dean
• Evelyn I. Dean, RN, ACNS-BC
• Tonya Dean, LMSW
• Sara Dear

• Counseling Psychologist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Counseling Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.