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MR. DAN MIRANDA MS, LCADC, CCS
NPI 1740943539
Counselor - Addiction (Substance Use Disorder) in Stafford Township, NJ

Active since October 19, 2021Opted out of Medicare · through Mar 17, 2028
1322 ROUTE 72 W STE 202A, STAFFORD TOWNSHIP, NJ 08050(561) 676-1634 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2024, Oct 19, 2021 (2 updates tracked since 2021).

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

NPI1740943539
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DAN MIRANDACredential: MS, LCADC, CCS
Location Address1322 ROUTE 72 W STE 202AStafford Township, NJ 08050-2486
Mailing Address1322 Route 72 W Ste 202aManahawkin, NJ 08050-2486 · (561) 676-1634
Phone(561) 676-1634
Sole ProprietorYes
Enumeration DateOctober 19, 2021
Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1740943539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NJ · 37LC00315000
1322 ROUTE 72 W STE 202A, Stafford Township, NJ 08050
Open in Google Maps ↗

Secondary Practice Location 1

Location 1240 Mathistown Rd Unit 212Little Egg Harbor Twp, NJ 08087-4062 · Phone (561) 676-1634

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.

Opt-Out Effective DateMarch 17, 2026
Opt-Out In Effect ThroughMarch 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

GIA19
Clinic/Center (Rehabilitation, Substance Use Disorder)
1322 ROUTE 72 W STE 202A
STAFFORD TOWNSHIP, NJ 08050
Ocean County (561) 676-1634

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 Dan Miranda's NPI number?

The NPI number for Dan Miranda is 1740943539. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Dan Miranda located?

Dan Miranda practices at 1322 Route 72 W Ste 202A, Stafford Township, NJ 08050. The listed phone number is (561) 676-1634.

What is Dan Miranda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Dan Miranda enrolled in Medicare?

No. Dan Miranda has opted out of Medicare through March 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dan Miranda was last updated on October 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.