MIRANDA MATHIS LCSW
NPI 1750635603
Social Worker - Clinical in Kansas City, MO

Active since October 30, 2012PECOS Enrolled
4100 N MULBERRY DR STE 102, KANSAS CITY, MO 64116(816) 827-5110 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2026, Mar 10, 2022 (2 updates tracked since 2022).

About Miranda Mathis Lcsw NPPES

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

MIRANDA MATHIS LCSW (NPI 1750635603) is an individual clinical provider in Kansas City, Missouri, licensed in Missouri (2024021217) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1750635603
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIRANDA MATHISCredential: LCSW
Location Address4100 N MULBERRY DR STE 102Kansas City, MO 64116-1511
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 30, 2012
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
NPI 1750635603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MO · 2024021217 Licensed in KS · LSCSW06408
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4100 N MULBERRY DR STE 102, Kansas City, MO 64116

Other Names 1

Former Name (1)Miranda Hale Lmsw

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 (PECOS)

Miranda Mathis Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628548666
PECOS Enrollment IDI20260530000166
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.29 – $168.52
Typical copayment $0.00 (range $13.82 – $42.13)
Most-billed visit code NA
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mathis's NPI number?

The NPI number for Miranda Mathis is 1750635603. It was assigned to this individual provider in the NPPES registry on October 30, 2012. The provider is also known as Miranda Hale Lmsw.

Where is Miranda Mathis located?

Miranda Mathis practices at 4100 N Mulberry Dr Ste 102, Kansas City, MO 64116. The listed phone number is (816) 827-5110.

What is Miranda Mathis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Miranda Mathis enrolled in Medicare?

Yes. Miranda Mathis is registered in the Medicare PECOS enrollment system.

What insurance does Miranda Mathis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and UnitedHealthcare list Miranda Mathis 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 Miranda Mathis was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.