Provider Demographics
NPI:1710576376
Name:PEIPER, MIRANDA (LPC)
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:
Last Name:PEIPER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSONBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15845-1639
Mailing Address - Country:US
Mailing Address - Phone:717-982-3436
Mailing Address - Fax:
Practice Address - Street 1:601 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:EMPORIUM
Practice Address - State:PA
Practice Address - Zip Code:15834-1043
Practice Address - Country:US
Practice Address - Phone:814-715-2479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016750101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional