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MIRANDA MIXON LCPC
NPI 1861956419
Counselor - Mental Health in Clinton, MD

Active since January 29, 2019PECOS EnrolledAccepts Medicare Assignment
9015 WOODYARD RD STE 206, CLINTON, MD 20735(240) 580-9956(301) 877-7110 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, Jun 13, 2024, Jan 29, 2019 (3 updates tracked since 2019).

About Miranda Mixon Lcpc NPPES

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

MIRANDA MIXON LCPC (NPI 1861956419) is an individual mental health provider in Clinton, Maryland, licensed in Maryland (LC9075) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861956419
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIRANDA MIXONCredential: LCPC
Location Address9015 WOODYARD RD STE 206Clinton, MD 20735-4209
Mailing Address9015 Woodyard Rd Ste 206Clinton, MD 20735-4209 · (240) 580-9956
Phone(240) 580-9956
Fax(301) 877-7110
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 29, 2019
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1861956419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC9075
9015 WOODYARD RD STE 206, Clinton, MD 20735
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miranda Mixon Lcpc 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 ID8527507136
PECOS Enrollment IDI20240905000794
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.

Other Providers at the Same Location NPPES 4

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

A MIX OF EMOTIONS LLC
Community/Behavioral Health
9015 WOODYARD RD STE 206
CLINTON, MD 20735
Prince George's County (240) 580-9956
CORE EMPOWERMENT, LLC
Counselor (Mental Health)
9015 WOODYARD RD STE 206
CLINTON, MD 20735
Prince George's County (240) 419-6909
MS. ALLERA AKPAN
Counselor (Professional)
9015 WOODYARD RD STE 206
CLINTON, MD 20735
Prince George's County (240) 419-6909
KIERRAH FLIPPING LCPC, LPC, NCC
Counselor (Mental Health)
9015 WOODYARD RD STE 206
CLINTON, MD 20735
Prince George's County (240) 419-6909

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 Mixon's NPI number?

The NPI number for Miranda Mixon is 1861956419. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Miranda Mixon located?

Miranda Mixon practices at 9015 Woodyard Rd Ste 206, Clinton, MD 20735. The listed phone number is (240) 580-9956.

What is Miranda Mixon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Miranda Mixon enrolled in Medicare?

Yes. Miranda Mixon 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.

When was this NPI record last updated?

The NPPES record for Miranda Mixon was last updated on July 29, 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.