MIRACLE PAIGE (NPI# 1730586173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730586173 |
| Entity Type | Individual |
| Full Name | MIRACLE PAIGE |
| Credential | LPC |
| Practice Address |
200 N Congress St Jackson MS 39201-1902 |
| Mailing Address |
617 Willow Bay Dr Byram MS 39272-3504 |
| Practice Telephone | 6013263786 |
| Practice Fax Number | 6013263776 |
| Mailing Telephone | 6018269947 |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1951 | MS | Behavioral Health & Social Service Providers |
| Street Address |
200 N CONGRESS ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39201-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275688137 | Kelly L Wilson | Social Worker | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2007-01-23 |
| 1487101499 | Sandra Jeanette Lee | Social Worker | 200 N Congress St, Jackson, MS 39201-1902 | 2016-09-07 |
| 1316293095 | Kelli Leo | Counselor | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2012-07-31 |
| 1679865448 | Noreen Rose Waithaka | Counselor | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2011-05-11 |
| 1831401116 | Brandi Allen | Social Worker | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2010-07-02 |
| 1023346319 | Lindsey Timm Davidson | Social Worker | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2009-11-24 |
| 1508092925 | Amy Turner | Social Worker | 200 N Congress St, Jackson, MS 39201-1902 | 2009-06-01 |
| 1184850422 | Aimee Lori Garrott | Social Worker | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2009-06-01 |
| 1043461262 | Frances Horton White | Counselor | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2008-10-07 |
| 1497914766 | Shelia Dianne Williams | Counselor | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962836874 | Tanericha Lashay Anderson | In Home Supportive Care | 3200 Jackson St, Jackson, MS 39201 | 2013-08-27 |
| 1871617423 | Karen White Jones | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2007-03-19 |
| 1912520768 | James Charles Haycraft | Marriage & Family Therapist | 431 N State St, Jackson, MS 39201-1108 | 2020-05-27 |
| 1548758832 | Lisa Allegrezza Sorey | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2018-04-23 |
| 1609287531 | William Mcneese Jr. | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2014-05-13 |
| 1902217805 | Laurel Boyd | Counselor | 431 N State St, Summit Counseling, Jackson, MS 39201-1108 | 2014-05-13 |
| 1134424450 | Ronald Gene Mumbower | Psychologist | 431 N State St, Jackson, MS 39201-1108 | 2011-01-18 |
| 1427350453 | Donald E. Waller | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-23 |
| 1285935932 | Summit Counseling | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-11 |
| 1184938060 | Lee Smith | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-08-03 |
| Find all providers in zip 39201 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
| 1992339071 | Open Door Family Counseling | Counselor | 316 S Brown St Ste A, Jackson, MI 49203-1481 | 2020-02-27 |
| 1891334108 | Jamie Alane Merrill | Counselor | 1214 Greenwood Ave, Jackson, MI 49203-3037 | 2020-01-03 |
| 1285273078 | Hall Consulting Services LLC | Counselor | 1155 Briarwood Dr, Jackson, MS 39211-4204 | 2019-12-27 |
| 1114496387 | New Direction Counseling Center, LLC | Counselor | 1200 N West Ave Ste 809, Jackson, MI 49202-2196 | 2018-11-17 |
| 1811490964 | Lifeworks Resources, LLC | Counselor | 575 S Royal St Ste 24, Jackson, TN 38301-7307 | 2018-03-15 |
| 1912409764 | Impact Behavioral Counseling LLC | Counselor | 1551 E County Line Rd Ste B, Jackson, MS 39211-1801 | 2018-03-07 |
| 1831697317 | Denise June Johnson | Counselor | 906 Lincoln St, Jackson, MI 49202-3251 | 2018-01-30 |
| 1033626031 | Heather R. Chruch | Counselor | 180 W Michigan Ave Ste 204, Jackson, MI 49201-1342 | 2017-12-29 |
| 1861908337 | Matthew T Tompkins | Counselor | 810 E Jackson Blvd Ste B1, Jackson, MO 63755-2400 | 2017-12-20 |
| Find all providers in JACKSON | ||||
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| 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.