Miranda M. Johnson
NPI 1558958462ActiveIndividual· Marriage & Family Therapist· Northfield, MN
Marriage & Family Therapist with Secure Base Counseling Center LLC, practicing in Northfield, Minnesota. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1558958462 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 26, 2020 |
| Last updated in NPPES | Dec 26, 2020 |
| Certified by provider | Dec 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (MN) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
| Telehealth | Offers telehealth |
Medical group
- Secure Base Counseling Center LLCNorthfield, MN · 20 clinicians
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