Individual provider Active NPI

Miranda Viorst, LPCC

  • Mental Health Counselor
  • Sebastopol, CA
National Provider Identifier
1912771403
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC21608 Issued in CA
Practice address
13024 Green Valley Rd
Sebastopol, CA 95472-9336
Phone
(720) 335-7237
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 LPCC21608 CA Primary

Addresses

Primary practice location

13024 Green Valley Rd
Sebastopol, CA 95472-9336

Mailing address

13024 Green Valley Rd
Sebastopol, CA 95472-9336
Phone (720) 335-7237

Other names 1

  • Mira Viorst Professional name

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

LicenseStateTypeSpecialty
LPCC21608CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1912771403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13024 GREEN VALLEY RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954729336",
            "telephone_number": "720-335-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13024 GREEN VALLEY RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954729336",
            "telephone_number": "720-335-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIORST",
        "first_name": "MIRANDA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC21608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRA",
            "last_name": "VIORST",
            "credential": "LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.