Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miraculas Clemons

Individual provider Mental Health Counselor · NPI 1255197927

Miraculas Clemons is a Mental Health Counselor in Columbus, Mississippi. Qualified in 2021, 5 years ago. Practices with Dutch Medical Clinics, Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2024

Practice location Address checks out

102 Brickerton St
Columbus, MS 39701-3608
Phone: (662) 570-1109
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P-0867 (MS)

Record details

NPI number1255197927
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 21, 2024
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing address102 Brickerton St, Columbus, MS 39701-3608

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dutch Medical Clinics, Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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