Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Miriam E Corona, LPC, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649745340

Mrs. Miriam E Corona, LPC, CSAC is a Mental Health Counselor in Kenosha, Wisconsin. Qualified in 2018, 8 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5910 39th Ave
Kenosha, WI 53144-2738
Phone: (262) 833-5999
Fax: (262) 357-8431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8781-125 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 16627-132 (WI)

Record details

NPI number1649745340
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CSAC
Sole proprietorYes
NPI enumeratedOctober 9, 2018
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address1920 90th St, Sturtevant, WI 53177-1806

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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