Wayne Miracle, ED.D. HSPP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

413 S. Liberty St.
Muncie, IN 47305-2341

Phone

(765) 288-8586

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Amh, Inc

  • Mental Health Counselor
  • Muncie, IN
  • NPI 1215940374
  NPD (past)
• Central Indiana OB/GYN, LLC

  • Obstetrics & Gynecology Physician
  • Muncie, IN
  • NPI 1265524383
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1982717385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 S. LIBERTY ST.",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473052341",
            "telephone_number": "765-288-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 S. LIBERTY ST.",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473052341",
            "telephone_number": "765-288-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRACLE",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "ED.D. HSPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100333760",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000186190",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "112439000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Elise Miller, MA, CCC-SLP
• Rachel Marie Miller
• Scott Miller, NP-C
• Trenton Alexander Miller
• Zoe Miller, RBT
• Charles C Miraglia, M.D.
• Missy'S Mighty Munchkins, LLC
• Cadence Mitchell, RBT
• Jamie Lynn Mitchell, LCSW
• Aaron R Mocherman, LMHC

• Counseling Psychologist in Muncie, IN
• Providers in Muncie, IN by specialty
• Counseling Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.