1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Counselor
  6. NPI Profile

INNAEL TODD MIRANDA LAC, LPC, LMHC
NPI 1023303070
Counselor - Mental Health in Albuquerque, NM

Active since June 16, 2011PECOS Enrolled
1119 MORNINGSIDE DR NE, ALBUQUERQUE, NM 87110(720) 230-3326 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Innael Todd Miranda Lac, Lpc, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNAEL TODD MIRANDA LAC, LPC, LMHC (NPI 1023303070) is an individual mental health provider in Albuquerque, New Mexico, licensed in Colorado (LPC.0020508) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1023303070
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameINNAEL TODD MIRANDACredential: LAC, LPC, LMHC
Location Address1119 MORNINGSIDE DR NEAlbuquerque, NM 87110-6172
Mailing Address1119 Morningside Dr NeAlbuquerque, NM 87110-6172 · (720) 230-3326
Phone(720) 230-3326
Sole ProprietorYes
Enumeration DateJune 16, 2011
Last NPPES UpdateApril 8, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1023303070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CO · LPC.0020508✔ Licensed in NM · CTB-2023-0229
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACC-7097 (CO)
1119 MORNINGSIDE DR NE, Albuquerque, NM 87110
Open in Google Maps ↗

Secondary Practice Location 1

Location 112101 E 2nd Ave, Suite 101Aurora, CO 80011-8327 · Phone (720) 670-7276

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innael Todd Miranda Lac, Lpc, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innael Miranda's NPI number?

The NPI number for Innael Miranda is 1023303070. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Innael Miranda located?

Innael Miranda practices at 1119 Morningside Dr NE, Albuquerque, NM 87110. The listed phone number is (720) 230-3326.

What is Innael Miranda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Innael Miranda enrolled in Medicare?

Yes. Innael Miranda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Innael Miranda was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.