MIA MICKENBERG LPC
NPI 1407327034
Counselor - Professional in Blacksburg, VA

Active since December 07, 2018PECOS EnrolledAccepts Medicare Assignment
106 SOUTHPARK DR STE C, BLACKSBURG, VA 24060(540) 376-3348 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Dec 7, 2018 (2 updates tracked since 2018).

About Mia Mickenberg Lpc NPPES

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

MIA MICKENBERG LPC (NPI 1407327034) is an individual professional provider in Blacksburg, Virginia, licensed in Virginia (0701008012) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1407327034
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMIA MICKENBERGCredential: LPC
Location Address106 SOUTHPARK DR STE CBlacksburg, VA 24060-6809
Mailing Address1145 Spruce StChristiansburg, VA 24073-3742
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 7, 2018
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
NPI 1407327034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701008012
Also ListedCounselorTaxonomy 101Y00000X · License 0701008012 (VA)
106 SOUTHPARK DR STE C, Blacksburg, VA 24060

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mia Mickenberg Lpc 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 ID3072964139
PECOS Enrollment IDI20240112002892
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.

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.

Counselor (Professional)
106 SOUTHPARK DR STE C
BLACKSBURG, VA 24060
Counselor (Professional)
106 SOUTHPARK DR STE C
BLACKSBURG, VA 24060
Counselor (Mental Health)
106 SOUTHPARK DR STE C
BLACKSBURG, VA 24060
Counselor (Professional)
106 SOUTHPARK DR STE C
BLACKSBURG, VA 24060
Social Worker (Clinical)
106 SOUTHPARK DR STE C
BLACKSBURG, VA 24060
Social Worker (Clinical)
106 SOUTHPARK DR STE C
BLACKSBURG, VA 24060
Counselor (Professional)
106 SOUTHPARK DR STE C
BLACKSBURG, VA 24060
Counselor (Professional)
106 SOUTHPARK DR STE C
BLACKSBURG, VA 24060

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 Mia Mickenberg's NPI number?

The NPI number for Mia Mickenberg is 1407327034. It was assigned to this individual provider in the NPPES registry on December 7, 2018.

Where is Mia Mickenberg located?

Mia Mickenberg practices at 106 Southpark Dr Ste C, Blacksburg, VA 24060. The listed phone number is (540) 376-3348.

What is Mia Mickenberg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mia Mickenberg enrolled in Medicare?

Yes. Mia Mickenberg 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.

What insurance does Mia Mickenberg accept?

Health plans from Providence Health Plan list Mia Mickenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mia Mickenberg was last updated on June 12, 2023. 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.