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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAVEN MIRANDA
NPI 1093287872
Counselor - Addiction (Substance Use Disorder) in Fitchburg, MA

Active since December 18, 2018
155 AIRPORT RD, FITCHBURG, MA 01420(978) 343-6300(978) 343-2803 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 30, 2026, Dec 18, 2018 (2 updates tracked since 2018).

About Raven Miranda NPPES

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

RAVEN MIRANDA (NPI 1093287872) is an individual addiction (substance use disorder) provider in Fitchburg, Massachusetts and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1093287872
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameRAVEN MIRANDA
Location Address155 AIRPORT RDFitchburg, MA 01420-8142
Mailing Address277 Baldwinville RdTempleton, MA 01468-1443 · (978) 398-3565
Phone(978) 343-6300
Fax(978) 343-2803
Sole ProprietorNo
Enumeration DateDecember 18, 2018
Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1093287872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedDevelopmental TherapistTaxonomy 222Q00000X
155 AIRPORT RD, Fitchburg, MA 01420
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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.

CAITLIN MARIE O'LEARY BA
Counselor (Addiction (Substance Use Disorder))
155 AIRPORT RD
FITCHBURG, MA 01420
Worcester County (978) 343-6300
PAULA S FUENTES BS
Counselor (Addiction (Substance Use Disorder))
155 AIRPORT RD
FITCHBURG, MA 01420
Worcester County (978) 956-3815
BRIANNE CORMIER LPN
Licensed Practical Nurse
155 AIRPORT RD
FITCHBURG, MA 01420
Worcester County (978) 516-2414
KATHLEEN BLOOD LPN
Licensed Practical Nurse
155 AIRPORT RD
FITCHBURG, MA 01420
Worcester County (978) 516-2414
DESTINY SCACHETTI-THOMPSON LPN
Licensed Practical Nurse
155 AIRPORT RD
FITCHBURG, MA 01420
Worcester County (978) 516-2414
CIARA MARIE CHAPMAN LPN
Licensed Vocational Nurse
155 AIRPORT RD
FITCHBURG, MA 01420
Worcester County (978) 906-0764
SUSAN L MAZZOLA
Counselor (Addiction (Substance Use Disorder))
155 AIRPORT RD
FITCHBURG, MA 01420
Worcester County (978) 342-6300
DIANNA SZABO LPN
Licensed Practical Nurse
155 AIRPORT RD
FITCHBURG, MA 01420
Worcester County (978) 516-2414

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 Raven Miranda's NPI number?

The NPI number for Raven Miranda is 1093287872. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Where is Raven Miranda located?

Raven Miranda practices at 155 Airport Rd, Fitchburg, MA 01420. The listed phone number is (978) 343-6300.

What is Raven Miranda's specialty?

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

When was this NPI record last updated?

The NPPES record for Raven Miranda was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.