MIRANDA KAY PAULSON (MPS, LADC, LPCC) – Professional Counselor, NPI 1881051621

MIRANDA KAY PAULSON (MPS, LADC, LPCC) is a healthcare provider. based in Aitkin, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MPS, LADC, LPCC. They hold a License No. 1816 (MN). The NPI Number for MIRANDA KAY PAULSON (MPS, LADC, LPCC) is 1881051621

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA KAY PAULSON (MPS, LADC, LPCC)
NPI
1881051621
Phone
(218) 326-1274
Address
20 3RD ST NE
Enumeration Date
25 January 2016
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2186700005
Graduation Year
2015 (11 years ago)
PAC ID
3971859562
Group Practice PAC ID
1153389242
Professional Enrollment ID
I20250321003430
Address ID
MN564311422AI20XXXNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for MIRANDA KAY PAULSON (MPS, LADC, LPCC)

  • 20 3RD ST NE

    AITKIN, MN 564311422

    Phone: (218) 326-1274

    Type: Location

  • 43747, 250th Street, Aitkin County, Minnesota, 56431, United States

    AITKIN, MN 56431

    Phone: (218) 251-3719

    Type: Mailing

  • 520, North 5th Street, Brainerd, Crow Wing County, Minnesota, 56401, United States

    BRAINERD, MN 56401

    Phone: (218) 829-3235

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250321003430IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56431)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153389242View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical PsychologistMN
Mental Health CounselorWI
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

How is MIRANDA KAY PAULSON (MPS, LADC, LPCC) identified in CMS data?
CMS-hosted NPPES data lists MIRANDA KAY PAULSON (MPS, LADC, LPCC) with NPI 1881051621.
Is MIRANDA KAY PAULSON (MPS, LADC, LPCC) listed as active for patients and plans?
The listing shows MIRANDA KAY PAULSON (MPS, LADC, LPCC) as active in the NPI system.
What taxonomy line describes MIRANDA KAY PAULSON (MPS, LADC, LPCC)?
For research purposes, treat MIRANDA KAY PAULSON (MPS, LADC, LPCC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Does MIRANDA KAY PAULSON (MPS, LADC, LPCC) list a practice location?
Patients near Aitkin, Minnesota may find MIRANDA KAY PAULSON (MPS, LADC, LPCC) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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