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Patrick Miranda

Counselor - Professional β€’ Elgin, IL

Active NPI 1831790617 Individual Practitioner Male Practitioner
Practice location in NPPES

411 W River Rd
Elgin, IL 601231570

Call 2243474014 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

411 W River Rd

Elgin, IL 601231570

Telephone 2243474014
Organization at the Same NPPES Address or Phone
Footprints Elgin Il Llc Facility NPI 1114498813

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Elgin and Illinois

63 active clinicians are listed under Counselor - Professional with a practice address in Elgin, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Elgin

4.8% of these 63 clinicians have the CMS telehealth indicator.

12.7% of these 63 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-14
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180015417
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Emily Kist , FNP

Nurse Practitioner - Family

NPI 1851943708

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address August 14, 2025

Registered at PO BOX 56056, HARWOOD HEIGHTS, IL 606560001

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2025

Counselor (license number reported to NPPES: IL 180015417)

βœ…
NPI Profile Active November 06, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 06, 2020

Registered at 411 W RIVER RD, ELGIN, IL 601231570 (Tel: 2243474014)

πŸ“
Business Mailing Address (Initial Record) November 06, 2020

Registered at 411 W RIVER RD, ELGIN, IL 601231570

πŸ‘€
Provider Name / Credentials (Initial Record) November 06, 2020

Recorded as PATRICK MIRANDA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2020

Counselor (license number reported to NPPES: IL 178016243)

🟒
Initial NPI Registration & Enumeration November 06, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831790617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2020
Last Update: August 14, 2025
Sole Proprietor: No

Other Counselor - Professionals in Elgin

Healthcare providers in Elgin

Mailing Address

Po Box 56056

Harwood Heights, IL 606560001

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.