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MIRANDA VENOSDLE
NPI 1790521037
Psychologist - Health Service in Minerva, OH

Active since July 05, 2024
14000 LINCOLN ST SE LOT 12, MINERVA, OH 44657(740) 291-0110 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2025, Sep 23, 2024, Jul 8, 2024 and 1 more (4 updates tracked since 2024).

About Miranda Venosdle NPPES

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

MIRANDA VENOSDLE (NPI 1790521037) is an individual health service provider in Minerva, Ohio, licensed in Ohio (TX686038) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1790521037
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameMIRANDA VENOSDLE
Location Address14000 LINCOLN ST SE LOT 12Minerva, OH 44657-8948
Mailing Address14000 Lincoln St Se Lot 12Minerva, OH 44657-8948 · (234) 427-9031
Phone(740) 291-0110
Sole ProprietorNo
Enumeration DateJuly 5, 2024
Last NPPES UpdateJune 28, 20254 updates tracked since enumeration
NPPES CertifiedJune 28, 2025
✔ NPI 1790521037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in OH · TX686038
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
14000 LINCOLN ST SE LOT 12, Minerva, OH 44657
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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 Venosdle's NPI number?

The NPI number for Miranda Venosdle is 1790521037. It was assigned to this individual provider in the NPPES registry on July 5, 2024.

Where is Miranda Venosdle located?

Miranda Venosdle practices at 14000 Lincoln St SE Lot 12, Minerva, OH 44657. The listed phone number is (740) 291-0110.

What is Miranda Venosdle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Miranda Venosdle was last updated on June 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.