Individual provider Active NPI

Anna Liedberg Miron, MA, LLPC, NCC

  • Mental Health Counselor
  • Kalamazoo, MI
National Provider Identifier
1891184396
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401014571 Issued in MI
Practice address
1460 Prospect PL
Kalamazoo, MI 49006-3110
Phone
(269) 381-8191
NPI assigned
Jan 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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 6401014571 MI Primary

Addresses

Primary practice location

1460 Prospect PL
Kalamazoo, MI 49006-3110

Mailing address

1460 Prospect PL
Kalamazoo, MI 49006-3110
Phone (269) 381-8191

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401014571MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Liedberg Miron LLC Mental Health CurrentSince Jun 21, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1891184396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 PROSPECT PL",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063110",
            "telephone_number": "269-381-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 PROSPECT PL",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063110",
            "telephone_number": "269-381-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEDBERG MIRON",
        "first_name": "ANNA",
        "credential": "MA, LLPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.