Active NPIIndividual provider

Miranda L Short, LPC

Counselor, Mental Health in West Deptford, New Jersey

NPI Number1558146407
Practice location
636 Kings Hwy Ste C, West Deptford, NJ 08096-3164
Fax
—
Last updated
October 31, 2026

Miranda L Short is a Counselor, Mental Health based in West Deptford, NJ. Miranda L Short practices in West Deptford, NJ and has the professional credentials of LPC. The NPI Number for Miranda L Short is 1558146407 and holds a License No. 311242 (KY). The current practice location address for Miranda L Short is 636 Kings Hwy Ste C, West Deptford, NJ 08096-3164 and can be reached out via phone at 856-644-4154.

Provider Profile Details

NPI Number
1558146407
Provider Name
Miranda L Short
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
636 Kings Hwy Ste C, West Deptford, NJ 08096-3164
Phone Number
856-644-4154
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2023
Last Update Date
October 31, 2026
Certification Date
October 31, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
636 Kings Hwy Ste C
West Deptford, NJ 08096-3164
Zip
08096-3164
Phone Number
856-644-4154
West Deptford, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
161 Franklin Corner RD Apt C6
Lawrenceville, NJ 08648-2507
City
Lawrenceville
State
NJ
Zip
08648-2507
Phone Number
606-733-5795

License Information

License Number (1)
311242
License State (1)
KY
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
37AC00733500
License State (2)
NJ
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miranda L Short, LPC?

The NPI number of Miranda L Short, LPC is 1558146407. It was assigned on August 29, 2023 and is currently active in the NPPES registry.

What is the specialty of Miranda L Short, LPC?

Miranda L Short, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in KY under license number 311242.

Where does Miranda L Short, LPC practice?

The practice location is 636 Kings Hwy Ste C, West Deptford, NJ 08096-3164. The office can be reached at 856-644-4154 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558146407 directly on the NPPES registry website.

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