Miranda Mixon, LCPC in Clinton, MD - Medicare Counselor Provider

Miranda Mixon, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Clinton, Maryland. Her current practice location is 9015 Woodyard Rd Ste 206, Clinton, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 580-9956.

Miranda Mixon is licensed to practice in Maryland (license number LC9075) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861956419.

Contact Information

	Miranda Mixon, LCPC
	9015 Woodyard Rd Ste 206, Clinton, MD 20735-4209
	(240) 580-9956
	(301) 877-7110

Map and Direction

Healthcare Provider's Profile

Full Name	Miranda Mixon
Gender	Female
Speciality	Counselor - Mental Health
Location	9015 Woodyard Rd Ste 206, Clinton, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861956419
Provider Enumeration Date: 01/29/2019
Last Update Date: 07/29/2024

Medicare PECOS Information:

PECOS PAC ID: 8527507136
Enrollment ID: I20240905000794

Medical Identifiers

Medical identifiers for Miranda Mixon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861956419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LC9075 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miranda Mixon allows following entities to bill medicare on her behalf.

Entity Name	A Mix Of Emotions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235968371 PECOS PAC ID: 7618416223 Enrollment ID: O20240827004264

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miranda Mixon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miranda Mixon, LCPC 9015 Woodyard Rd Ste 206, Clinton, MD 20735-4209 Ph: (240) 580-9956	Miranda Mixon, LCPC 9015 Woodyard Rd Ste 206, Clinton, MD 20735-4209 Ph: (240) 580-9956

Reviews and Comments

Counselor in Clinton, MD

Ms. Pamela Moody, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9314 Piscataway Rd, Room 152, Clinton, MD 20735 Phone: 301-856-9512 Fax: 301-856-9589
Brittany Deloatch, NCC, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7700 Old Branch Ave, D103, Clinton, MD 20735 Phone: 877-214-3668
Dr. Michaele C Samuel, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7700 Old Branch Ave Ste E103, Clinton, MD 20735 Phone: 301-877-1200
Keyona R Hall, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9015 Woodyard Rd Ste 208, Clinton, MD 20735 Phone: 301-356-3818
Julie Kuhns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3102 Floral Park Rd, Clinton, MD 20735 Phone: 703-927-2848
Dr. Adrienne Benita Ellis, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7801 Old Branch Ave, Suite 212, Clinton, MD 20735 Phone: 301-856-8516
Melanie Lorraine Joell, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7801 Old Branch Ave, Clinton, MD 20735 Phone: 301-856-8516

Miranda Mixon, LCPC - Medicare Counselor in Clinton, MD