MIRANDA MIDDLETON


Address: 777 S Wadsworth Blvd, Bldg#2, Suite 205, Lakewood, CO 80226-4300
Phone: 7203739352

MIRANDA MIDDLETON (NPI# 1710298492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710298492
Entity Type Individual
Full Name MIRANDA MIDDLETON
Credential L.P.C.
Practice Address 777 S Wadsworth Blvd
Bldg#2, Suite 205
Lakewood
CO 80226-4300
Mailing Address 1875 Glen Dale Dr
Lakewood
CO 80215-3017
Practice Telephone 7203739352
Mailing Telephone 7203739352
Enumeration Date 2010-06-28
Last Update Date 2014-01-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
5702 CO Behavioral Health & Social Service Providers

Office Location

Street Address 777 S WADSWORTH BLVD
BLDG#2, SUITE 205
City LAKEWOOD
State CO
Zip Code 80226-4300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669450565 Tammie Charron Williams Counselor 777 S Wadsworth Blvd, Building 2, Suite 104, Lakewood, CO 80226-4300 2006-01-03
1619268729 Mindful Health Advantage, LLC Psychologist 777 S Wadsworth Blvd, Bldg 2, Ste 103, Lakewood, CO 80226-4300 2011-04-22
1134362361 Teresa Deanda Speech-Language Pathologist 777 S Wadsworth Blvd, Suite 1-206, Lakewood, CO 80226-4300 2009-04-17
1275710121 Martin Bernstein Psychologist 777 S Wadsworth Blvd, Lakewood, CO 80226-4300 2008-01-23
1043492747 Ann P. Johnson Counselor 777 S Wadsworth Blvd, Bldg. 2, Suite 205, Lakewood, CO 80226-4300 2007-12-04
1013124569 Mary Virginia Schulte Social Worker 777 S Wadsworth Blvd, Building 1 Suite 203, Lakewood, CO 80226-4300 2007-05-16
1316072648 Mary J Whitman Social Worker 777 S Wadsworth Blvd, #1203, Lakewood, CO 80226-4300 2007-02-23
1093852790 Kathy Lee Duerr Counselor 777 S Wadsworth Blvd, Building 2 Suite 106, Lakewood, CO 80226-4300 2007-01-31
1790844025 Martin E Bernstein PC Psychologist 777 S Wadsworth Blvd, Bldg 2 102, Lakewood, CO 80226-4300 2006-12-06
1306931639 Douglas Hanze Psychologist 777 S Wadsworth Blvd, # 4-170, Lakewood, CO 80226-4300 2006-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073153771 Kaeley Marie Moffatt Behavior Technician 265 Harlan St, Lakewood, CO 80226 2020-01-10
1871130849 Karla C Lara Behavior Technician 265 South Horland, Lakewood, CO 80226 2019-12-09
1063057842 Nancy Sue Boisture Physical Therapist 393 South Harlan Street, Suite 170, Lakewood, CO 80226 2019-11-15
1891338083 The Rising Sun Senior Home At Belmar Inc. Assisted Living Facility 835 S. Flower St, Lakewood, CO 80226 2019-10-21
1689195562 Amanda Marie Reider Counselor 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 2017-06-30
1477092591 Premere Rehab LLC Occupational Therapist 7825 W Alameda Ave, Lakewood, CO 80226 2017-02-22
1477901304 Abigail L Wegert Registered Nurse 8015 W Alameda Ave Ste 260, Lakewood, CO 80226 2016-06-01
1235507724 Justin Evans Emergency Medicine 476 Newland St, Lakewood, CO 80226 2015-09-14
1922475672 Kingston Dialysis LLC Clinic/Center 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 2015-08-28
1457731937 Terry Cheung Nurse Practitioner 7444 W Alaska Drive, Suite #200, Lakewood, CO 80226 2015-06-01
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124635867 Indepth Therapy, LLC Counselor 7400 W Jefferson Ave Ste 111, Lakewood, CO 80235-2001 2020-09-27
1437770112 Michael Andreas Sainz Sr. Counselor 7400 W Jefferson Ave, Lakewood, CO 80235-2001 2020-05-04
1811535669 Ashley Kleinman Martinez Counselor 1658 Cole Blvd Ste 295, Lakewood, CO 80401-3312 2019-12-11
1811534290 Olga Valeriivna Mikhnyuk Counselor 274 Union Blvd Ste 450, Lakewood, CO 80228-1836 2019-12-05
1649814732 Laurie Holland Counselor 1175 Iris St, Lakewood, CO 80215-4632 2019-10-31
1881250009 Jennifer Roche-sheets Counselor 20133 Jersey Ave, Lakewood, CA 90715-1047 2019-05-13
1639631799 Cheryl Ann Dahl-monahan Counselor 525 Route 70 Ste A3, Lakewood, NJ 08701-5847 2019-04-05
1477046381 Dov Waidenbaum Counselor 60 Canary Dr, Lakewood, NJ 08701-5455 2018-06-14
1205344314 Debora Liba Yoffe Counselor 119 Courtney Rd, Lakewood, NJ 08701-1855 2018-01-11
1760994792 Isaac Schechter Counselor 1 Primrose Dr, Lakewood, NJ 08701-3283 2017-10-31
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Competitor

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City LAKEWOOD
Zip Code 80226

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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