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

Active since October 30, 2012PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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, maintains a secondary practice location in Kansas City, 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
Phone(816) 827-5110
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
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Other Names 1

Former Name (1)Miranda Hale Lmsw

Secondary Practice Location 1

Location 1500 Woodland AveKansas City, MO 64106 · Phone (816) 842-8040 · Fax (816) 792-3219

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miranda Mathis Lcsw 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 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.

Medicare Billing Reassignment

Medicare enrollment records show Miranda Mathis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric And Counseling Associates LLC
17 mi
Behavioral Neurology & Neuropsychiatry
8400 W 110TH ST., STE 100
Overland Park, KS 66210
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1114096385 (913) 327-7505

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES

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

JESSIE CHRISTINE CULLEY LPC
Counselor (Professional)
4100 N MULBERRY DR STE 102
KANSAS CITY, MO 64116
Clay County (816) 827-5110

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Miranda Mathis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Mathis reassigns Medicare benefits to Psychiatric And Counseling Associates LLC (Overland Park, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miranda Mathis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 4 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.