MIRACLE DEYSIA BETANCOURT MSW, LCSW
NPI 1144943416
Social Worker - Clinical in Irving, TX

Q: What is Miracle Betancourt's NPI number?

The NPI number for Miracle Betancourt is 1144943416. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Q: What is Miracle Betancourt's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since September 22, 2022PECOS Enrolled

8300 ESTERS BLVD STE 900, IRVING, TX 75063(415) 424-4266(415) 520-6633 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2025, Dec 8, 2022, Sep 22, 2022 (3 updates tracked since 2022).

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About Miracle Deysia Betancourt Msw, Lcsw NPPES

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

MIRACLE DEYSIA BETANCOURT MSW, LCSW (NPI 1144943416) is an individual clinical provider in Irving, Texas, licensed in Texas (107417) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Spring, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144943416

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMIRACLE DEYSIA BETANCOURTCredential: MSW, LCSW

Location Address8300 ESTERS BLVD STE 900Irving, TX 75063-2233

Mailing Address8300 Esters Blvd Ste 900Irving, TX 75063-2233 · (415) 424-4266 · Fax (415) 520-6633

Phone(415) 424-4266

Fax(415) 520-6633

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 22, 2022

Last NPPES UpdateJanuary 9, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1144943416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · 107417

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

8300 ESTERS BLVD STE 900, Irving, TX 75063

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Secondary Practice Location 1

Location 11201 Lake Woodlands Dr Ste 4009Spring, TX 77380-5000 · Phone (855) 284-7483 · Fax (617) 807-0958

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miracle Deysia Betancourt Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315440831

PECOS Enrollment IDI20250911001858

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $57.18 – $172.86

Typical copayment $0.00 (range $14.29 – $43.21)

Most-billed visit code NA

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. NAKIA CHERIE ALFORD - SUNDAY MED, LPC

Counselor (Professional)