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DAVID G MIRACLE MA, LPC-ASSOCIATE
NPI 1750860185
Counselor - Professional in Fort Worth, TX

Active since August 07, 2018PECOS Enrolled
1001 12TH AVE # 146, FORT WORTH, TX 76104(817) 377-4011 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2024, Aug 7, 2018 (2 updates tracked since 2018).

About David G Miracle Ma, Lpc-associate NPPES

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

DAVID G MIRACLE MA, LPC-ASSOCIATE (NPI 1750860185) is an individual professional provider in Fort Worth, Texas, licensed in Texas (91657) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750860185
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDAVID G MIRACLECredential: MA, LPC-ASSOCIATE
Location Address1001 12TH AVE # 146Fort Worth, TX 76104-3926
Mailing Address1001 12th Ave # 146Fort Worth, TX 76104-3926 · (817) 377-4011
Phone(817) 377-4011
Sole ProprietorNo
Enumeration DateAugust 7, 2018
Last NPPES UpdateJune 3, 20242 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1750860185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 91657
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 13592 (TX)
1001 12TH AVE # 146, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

David G Miracle Ma, Lpc-associate is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 David Miracle's NPI number?

The NPI number for David Miracle is 1750860185. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is David Miracle located?

David Miracle practices at 1001 12th Ave # 146, Fort Worth, TX 76104. The listed phone number is (817) 377-4011.

What is David Miracle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is David Miracle enrolled in Medicare?

Yes. David Miracle is registered in the Medicare PECOS enrollment system.

What insurance does David Miracle accept?

Health plans from Blue Cross and Blue Shield of Texas list David Miracle 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 David Miracle was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.