MIRANDA L SHORT LPC
NPI 1558146407
Counselor - Mental Health in West Deptford, NJ

Q: What is Miranda Short's NPI number?

The NPI number for Miranda Short is 1558146407. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Q: What is Miranda Short's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Miranda Short was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 29, 2023

636 KINGS HWY STE C, WEST DEPTFORD, NJ 08096(856) 644-4154 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Apr 22, 2026, Aug 29, 2023 (2 updates tracked since 2023).

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About Miranda L Short Lpc NPPES

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

MIRANDA L SHORT LPC (NPI 1558146407) is an individual mental health provider in West Deptford, New Jersey, licensed in New Jersey (37AC00733500) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1558146407

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMIRANDA L SHORTCredential: LPC

Location Address636 KINGS HWY STE CWest Deptford, NJ 08096-3164

Mailing Address161 Franklin Corner Rd Apt C6Lawrenceville, NJ 08648-2507 · (606) 733-5795

Phone(856) 644-4154

Sole ProprietorNo

Enumeration DateAugust 29, 2023

Last NPPES UpdateApril 22, 20262 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1558146407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NJ · 37AC00733500

636 KINGS HWY STE C, West Deptford, NJ 08096

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIAROSE FODALI LPC

Counselor (Mental Health)

636 KINGS HWY STE C
WEST DEPTFORD, NJ 08096

Gloucester County (856) 433-4264

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 Miranda Short's NPI number?

The NPI number for Miranda Short is 1558146407. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Miranda Short located?

Miranda Short practices at 636 Kings Hwy Ste C, West Deptford, NJ 08096. The listed phone number is (856) 644-4154.

What is Miranda Short's specialty?

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

When was this NPI record last updated?

The NPPES record for Miranda Short was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.