MIRANDA K BOTTS MA, LPC, LAC
NPI 1871687491
Counselor - Professional in Grand Junction, CO

Q: What is Miranda Botts's NPI number?

The NPI number for Miranda Botts is 1871687491. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Miranda K Moyer Ma, Lpc, Lac.

Q: What is Miranda Botts's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Miranda Botts was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 03, 2006PECOS Enrolled

515 28 3/4 RD, GRAND JUNCTION, CO 81501(970) 241-6023(970) 242-8330 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miranda K Botts Ma, Lpc, Lac NPPES

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

MIRANDA K BOTTS MA, LPC, LAC (NPI 1871687491) is an individual professional provider in Grand Junction, Colorado, licensed in Colorado (4787) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Junction.

NPPES Registry Identity

NPI1871687491

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMIRANDA K BOTTSCredential: MA, LPC, LAC

Location Address515 28 3/4 RDGrand Junction, CO 81501-5016

Mailing Address2820 Keystone CtGrand Junction, CO 81506-6011 · (970) 201-8911

Phone(970) 241-6023

Fax(970) 242-8330

Sole ProprietorYes

Enumeration DateOctober 3, 2006

Last NPPES UpdateDecember 28, 2018

✔ NPI 1871687491 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 CO · 4787

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 180 (CO)

515 28 3/4 RD, Grand Junction, CO 81501

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Other Names 1

Former Name (1)Miranda K Moyer Ma, Lpc, Lac

Secondary Practice Location 1

Location 12820 Keystone CtGrand Junction, CO 81506-6011 · Phone (970) 201-8911

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 K Botts Ma, Lpc, Lac 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.

Other Providers at the Same Location NPPES 20

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

DR. DEBORAH JO STETLER M.D.

Psychiatry & Neurology (Psychiatry)