MIRACLE MENTAL HEALTH CARE SERVICES LLC
NPI 1184440216
Nurse Practitioner - Psychiatric/Mental Health in East Orange, NJ
About Miracle Mental Health Care Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRACLE MENTAL HEALTH CARE SERVICES LLC (NPI 1184440216) is a healthcare organization registered as a psychiatric/mental health in East Orange, New Jersey and active in the NPI registry since November 2024. The organization lists Alice Ironnah, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miracle Mental Health Care Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Miracle Mental Health Care Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Miracle Mental Health Care Services LLC's NPI number?
The NPI number for Miracle Mental Health Care Services LLC is 1184440216. It was assigned to this organization in the NPPES registry on November 22, 2024.
Where is Miracle Mental Health Care Services LLC located?
Miracle Mental Health Care Services LLC is located at 58 Arsdale Ter, East Orange, NJ 07018. The listed phone number is (973) 609-7069.
What is Miracle Mental Health Care Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Miracle Mental Health Care Services LLC enrolled in Medicare?
Yes. Miracle Mental Health Care Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Miracle Mental Health Care Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Miracle Mental Health Care Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Miracle Mental Health Care Services LLC was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Miracle Mental Health Care Services Llc · NPI 1184440216
Psychiatric/Mental Health organization in East Orange, New Jersey. Organization record, active in the CMS NPPES registry since November 22, 2024.
## Identity
- **NPI:** 1184440216 (Entity type: Organization)
- **Enumerated:** November 22, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Alice Ironnah, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 58 ARSDALE TER, East Orange, NJ 07018-2304
- **Phone:** (973) 609-7069
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184440216) · Data from the CMS NPPES public registry.