Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tammy Miranda, LCPC-C, CBIS

Individual provider Mental Health Counselor · NPI 1841790458

Tammy Miranda, LCPC-C, CBIS is a Mental Health Counselor in South Portland, Maine. Qualified in 2017, 9 years ago. Practices with Health Affiliates Maine, LLC, a 174-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
9
Licensed in
ME
In the registry since
2018
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Practice location Address checks out

1486B Broadway
South Portland, ME 04106-2602
Phone: (207) 602-8660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence XL4898 (ME)

Record details

NPI number1841790458
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC-C , CBIS
Sole proprietorYes
NPI enumeratedFebruary 20, 2018
Last updated in NPPESApril 25, 2018

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Health Affiliates Maine, Llc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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