Miriah Jenelle Bronder, PPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PPC-1478 Issued in WY

Practice address

1904 Warren Ave
Cheyenne, WY 82001-3730

Phone

(307) 317-0973

Fax

(307) 216-4318

NPI assigned

Jul 17, 2024

Last updated

Jul 17, 2024By 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

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.

• Be Herd LLC

  dba Ellie Mental Health Warren Cheyenne

  • Marriage & Family Therapist
  • Cheyenne, WY
  • NPI 1134981863
  NPD

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1932947512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 SILVER FOX LN",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820091071",
            "telephone_number": "913-274-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 WARREN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013730",
            "telephone_number": "307-317-0973",
            "fax_number": "307-216-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONDER",
        "first_name": "MIRIAH",
        "middle_name": "JENELLE",
        "credential": "PPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "PPC-1478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda M Brinkman, LPN
• Brittany Lee Brinkman
• Brandi Jo Bristow
• Jessica Annette Britton, LMT
• Katherine Marie Brock, FNP
• Stephen A Bronson
• Cynthia Sue Brooks, PSYD
• Jennifer Brosious
• Kylie A Brough, PAC
• Rebecca Lea Brown-Johnson

• Mental Health Counselor in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Mental Health Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.