Miranda Marie Fassbender
NPI 1356681308ActiveIndividual· Counselor, Professional· Amery, WI
Counselor, Professional with Ladd Memorial Hospital, practicing in Amery, Wisconsin. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1356681308 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 27, 2013 |
| Last updated in NPPES | Feb 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 5640.125 | WI |
| Counselor, Professional | 101YP2500X | 1887 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Ladd Memorial HospitalOsceola, WI · 70 clinicians
Other Counselor, Professional providers in Amery
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