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MIRIAM BOND
NPI 1366864134
Counselor - Mental Health in Vicksburg, MS

Active since January 14, 2014PECOS EnrolledAccepts Medicare Assignment
3444 WISCONSIN AVE, VICKSBURG, MS 39180(630) 638-0031 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miriam Bond NPPES

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

MIRIAM BOND (NPI 1366864134) is an individual mental health provider in Vicksburg, Mississippi and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1366864134
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIRIAM BOND
Location Address3444 WISCONSIN AVEVicksburg, MS 39180-5331
Mailing Address3444 Wisconsin AveVicksburg, MS 39180-5331
Phone(630) 638-0031
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 14, 2014
✔ NPI 1366864134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3444 WISCONSIN AVE, Vicksburg, MS 39180
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miriam Bond is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153762612
PECOS Enrollment IDI20240515000754
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Miriam Bond reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mdb Behavioral Health Services LLC
1.6 mi
Rural Health
1911 MISSION 66 STE B
Vicksburg, MS 39180
  • Reassigned Medicare billing, Mississippi enrollment
  • 180 clinicians in this Medicare group
NPI 1669835310 (601) 665-4162
Minor Med Care, LLC
20 mi
Rural Health
120 W MAIN ST
Raymond, MS 39154
  • Reassigned Medicare billing, Mississippi enrollment
  • 170 clinicians in this Medicare group
NPI 1669575627 (601) 372-1117
Mdb Care Management LLC
45 mi
Primary Care
215 KATHERINE DR
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 89 clinicians in this Medicare group
NPI 1144925272 (601) 665-4162
Uppal Medical Center LLC
76 mi
Rural Health
1727 E UNION ST
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 164 clinicians in this Medicare group
NPI 1558927905 (662) 577-6673

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TIFFANY SMITH
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
WARREN YAZOO MENTAL HEALTH SERVICE
Clinic/Center (Mental Health (Including Community Mental Health Center))
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
FELICIA WILSON PCMHT
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
HEATHER POTTS
Counselor (Addiction (Substance Use Disorder))
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ROSALYN GLASCOE
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ANN NELSON LSW
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
MILLICENT LEDBETTER
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
MADALENE J BARKSDALE-MAYFIELD
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031

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 Miriam Bond's NPI number?

The NPI number for Miriam Bond is 1366864134. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Where is Miriam Bond located?

Miriam Bond practices at 3444 Wisconsin Ave, Vicksburg, MS 39180. The listed phone number is (630) 638-0031.

What is Miriam Bond's specialty?

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

Is Miriam Bond enrolled in Medicare?

Yes. Miriam Bond is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Miriam Bond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Bond reassigns Medicare benefits to 4 organizations: Mdb Behavioral Health Services LLC (Vicksburg, MS), Minor Med Care, LLC (Raymond, MS), Mdb Care Management LLC (Flowood, MS) and Uppal Medical Center LLC (Greenville, MS). Each 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 Miriam Bond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miriam Bond was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.