Individual provider Active NPI

Miranda Ann Peyton, LISW, MT-BC

  • Social Worker
  • Marion, IA
National Provider Identifier
1972007474
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
095554 Issued in IA
Practice address
360 7TH Ave Ste 4B
Marion, IA 52302-5771
Phone
(319) 382-0739
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 095554 IA Primary
Music Therapist 225A00000X 12184 IA

Addresses

Primary practice location

360 7TH Ave Ste 4B
Marion, IA 52302-5771

Mailing address

1655 Blairs Ferry Rd
Marion, IA 52302-3157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807000290 IA Practitioner - Clinical Social Worker 5496292542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12184IAMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Family Solutions, LLC CurrentSince May 12, 2024 Accepting new patients
Horizons, a Family Service Alliance PastSince Jul 1, 2005 Accepting new patients

Locations

2720 1st Ave NE
Ste 300
Cedar Rapids, IA 52402
Phone (319) 200-5104

1655 Blairs Ferry Rd
Marion, IA 52302
Phone (319) 261-2292

Organizations & group practices 2

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1972007474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 BLAIRS FERRY RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 7TH AVE STE 4B",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523025771",
            "telephone_number": "319-382-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "MIRANDA",
        "middle_name": "ANN",
        "credential": "LISW, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "095554",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "IA",
            "license": "12184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

Verify at the official NPI Registry.