Mira Elton Rose Cummins, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19684 Issued in MN

Practice address

345 N. Smith Ave, Mail Stop 70-503
Children's Hospitals and Clinics of Minnesota
Saint Paul, MN 55102

Phone

(651) 220-6479

Fax

(651) 220-6393

NPI assigned

Sep 21, 2011

Last updated

Dec 4, 2012By the provider in NPPES

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

Other names 1

• Ms. Mira Elton Rose Swanson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 10, 2023 through Jun 10, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cummins Counseling LLC

  • Clinical Social Worker
  • Eagan, MN
  • NPI 1912660671
  NPD Authorized official
• Iris Mental Health, LLC

  dba Iris Mental Health & Wellness

  • Marriage & Family Therapist
  • Apple Valley, MN
  • NPI 1023528213
  NPD (past)

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1922381516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N. SMITH AVE, MAIL STOP 70-503",
            "address_2": "CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-220-6479",
            "fax_number": "651-220-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N. SMITH AVE, MAIL STOP 70-503",
            "address_2": "CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-220-6479",
            "fax_number": "651-220-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "MIRA",
        "middle_name": "ELTON ROSE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRA",
            "last_name": "SWANSON",
            "middle_name": "ELTON ROSE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jake Anthony Cumbest
• Cumi Wellness (The Refuge Church Minnesota)
• Elizabeth Childs Cummings, DPT
• Heather Lynn Cummings, MA CCC-SLP
• Linda K Cummings, M.A. CCC
• Kara V Cundy, MD
• Margaret Cunniff, MD
• Cunningham Counseling, LLC
• Brian Patrick Cunningham, M.D.
• Lee Cunningham

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.