Jazmin Serrano Miranda

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801120739 Issued in MI

Practice address

3755 Remembrance Rd NW Ste 3
Walker, MI 49534-7745

Phone

(616) 379-9191

NPI assigned

Oct 7, 2025

Last updated

Oct 24, 2025By 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

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Immaculate Heart Counseling PLLCGroup PAC ID 2668810839, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Immaculate Heart Counseling PLLC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1811764426
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1972478279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 REMEMBRANCE RD NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495347745",
            "telephone_number": "616-379-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 REMEMBRANCE RD NW STE 3",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495347745",
            "telephone_number": "616-379-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO MIRANDA",
        "first_name": "JAZMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• Rick David Saier, MD
• Beverly Joan Sankey, MD
• Katelyn Schutte, FNP - C
• Ashleigh Severance, LPN
• Luke Shepherd, M.A., CCC-SLP
• Kirsten M Shively, PA
• SHS of West Michigan, LLC (Seniors Helping Seniors)
• Soleil Anar Singh, DDS

• Clinical Social Worker in Walker, MI
• Providers in Walker, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.