MR. DAN MIRANDA MS, LCADC, CCS
NPI 1740943539
Counselor - Addiction (Substance Use Disorder) in Stafford Township, NJ
About Mr. Dan Miranda Ms, Lcadc, Ccs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DAN MIRANDA MS, LCADC, CCS (NPI 1740943539) is an individual addiction (substance use disorder) provider in Stafford Township, New Jersey, licensed in New Jersey (37LC00315000) and active in the NPI registry since October 2021. He has opted out of Medicare through March 17, 2028 and remains eligible to order and refer and maintains a secondary practice location in Little Egg Harbor Twp.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Dan Miranda Ms, Lcadc, Ccs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2026 through March 17, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STAFFORD TOWNSHIP, NJ 08050
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740943539, enumerated as an "individual" on October 19, 2021.
The provider is located at 1322 ROUTE 72 W STE 202A STAFFORD TOWNSHIP, NJ 08050 and the phone number is (561) 676-1634.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).