Miranda McMahon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

104 Malton Rd
Negaunee, MI 49866

Phone

(906) 228-2830

NPI assigned

Apr 16, 2016

Last updated

May 17, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Great Lakes Recovery Centers

  • Children's Substance Abuse Rehabilitation Facility
  • Negaunee, MI
  • NPI 1669899241
  NPD (past)
• Great Lakes Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Ironwood, MI
  • NPI 1821267956
  NPD (past)

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

{
    "created_epoch": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1891149894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST STE C",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-228-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MALTON RD",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "49866",
            "telephone_number": "906-228-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 N Ridge St",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "49855",
            "country_code": "US",
            "telephone_number": "906-228-6548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 N Ridge St",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "49855",
            "country_code": "US",
            "telephone_number": "906-228-6548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8915 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752351717",
            "country_code": "US",
            "telephone_number": "469-401-1805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "MIRANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-16",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Martin
• Laura B Matthews
• Amy Mattson
• Sandra K McCowen, M.D.
• Delaney McLaughlin
• Kendal Miles Mentink, RN
• Megan Leann Messer, RN
• Wendysue Miljour-Hill, LLP
• Katherine Miller
• MK Stores Inc (LT Pharmacare)

• Mental Health Counselor in Negaunee, MI
• Providers in Negaunee, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.