NPIMap

Organization Active NPI

Miracles Healing Centers Inc

  • Mental Health Counselor
  • Mooresville, NC
National Provider Identifier
1962597732
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIRACLES HEALING CENTERS INC
Practice address
111 Kilson Dr.
Suite 201
Mooresville, NC 28117
Phone
(704) 664-1009
Fax
(704) 664-1029
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sheryl Marinelli, LPCNPI 1588841001
Title
Owner
Phone
(704) 664-1009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

111 Kilson Dr.
Suite 201
Mooresville, NC 28117

Mailing address

111 Kilson Dr.
Suite 201
Mooresville, NC 28117
Phone (704) 664-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101108000319 NC Part B Supplier - Clinic/Group Practice 8729273594 Receives reassigned benefits from 14 practitioners
Practice locations: Denver, NC; Mooresville, NC

National Provider Directory

National Provider Directory

Locations

7480 Waterside Loop Rd
Ste 204
Denver, NC 28037
Phone (704) 483-3783

7480 Waterside Loop Rd
Ste 201
Denver, NC 28037

111 Kilson Dr
Ste 201
Mooresville, NC 28117
Phone (704) 444-0999

111 Kilson Dr
Ste 204
Mooresville, NC 28117

134 Professional Park Dr
Ste 400
Mooresville, NC 28117
Phone (704) 664-1009

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1962597732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KILSON DR.",
            "address_2": "SUITE 201",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-664-1009",
            "fax_number": "704-664-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 KILSON DR.",
            "address_2": "SUITE 201",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-664-1009",
            "fax_number": "704-664-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES HEALING CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "MARINELLI",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-664-1009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.