MIRANDA S. SHELTON
NPI 1023680774
Counselor - Addiction (Substance Use Disorder) in Mansfield, OH

Q: What is Miranda Shelton's NPI number?

The NPI number for Miranda Shelton is 1023680774. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Q: What is Miranda Shelton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Shelton was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 13, 2021

580 PARK AVE W, MANSFIELD, OH 44906(833) 510-4357(866) 460-2997 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2022, Jul 13, 2021 (2 updates tracked since 2021).

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About Miranda S. Shelton NPPES

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

MIRANDA S. SHELTON (NPI 1023680774) is an individual addiction (substance use disorder) provider in Mansfield, Ohio, licensed in Ohio (CDCA.180023) and active in the NPI registry since July 2021. She maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1023680774

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMIRANDA S. SHELTON

Location Address580 PARK AVE WMansfield, OH 44906-3722

Mailing Address615 Elsinore Pl Ste 200Cincinnati, OH 45202-1457 · (833) 510-4357 · Fax (866) 460-2997

Phone(833) 510-4357

Fax(866) 460-2997

Sole ProprietorNo

Enumeration DateJuly 13, 2021

Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration

NPPES CertifiedAugust 19, 2022

✔ NPI 1023680774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in OH · CDCA.180023✔ Licensed in OH · CDCA.175537

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

580 PARK AVE W, Mansfield, OH 44906

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Secondary Practice Location 1

Location 1615 Elsinore Pl Ste 200Cincinnati, OH 45202-1457 · Phone (833) 510-4357 · Fax (866) 460-2997

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY JEAN BRANDEBERRY APRN

Nurse Practitioner (Psychiatric/Mental Health)