Miranda Jaksha, SUDP-T
Addiction (Substance Use Disorder) Counselor · Longview, WA
Miranda Jaksha, SUDP-T is an addiction (substance use disorder) counselor with a practice address in Longview, Washington, and NPI 1174355499, issued on Aug 15, 2024. Check the license (Washington 61491028, as entered in NPPES) with the Washington board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Miranda Jaksha
- Credential
- SUDP-T
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License number
- 61491028 WA
Self-reported in NPPES; status is on the state search - Practice location
- 900 Fir St, Longview, WA 98632
- Phone
- (360) 353-9422
- Enumerated
- Aug 15, 2024
- Record last updated
- Aug 15, 2024
- Fax
- (360) 575-1950
- Entity
- Type 1 · individual
Also registered at 900 Fir St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Amie-Jo Brassfield, CDPTAddiction (Substance Use Disorder) Counselor1790264463
- Jesse ChoPsychiatric/Mental Health Nurse Practitioner1104561398
- Hilary Don't Mix, AAC, SUDPTPeer Specialist1760117378
- Natalie East, P.T.Physical Therapist1720086424
- Suzanne Gerhart, P.T.Physical Therapist1699773390
- Kelsey Gravelle, SUDP LICSWClinical Social Worker1952840944
Verify Miranda Jaksha in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license 61491028Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
47 addiction (substance use disorder) counselor records list a practice address in Longview
They are 47 of the 1,933 NPPES records with a practice address in Longview, and 4,416 addiction (substance use disorder) counselor records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 47 in Longview → All 4,416 in Washington → Every provider in Longview →
Other addiction (substance use disorder) counselor records in Washington
- Isha AbdallaEverett, WA1417733510
- Bashiir AbdulmuminBellevue, WA1417219478
- Bruce AbelsonTacoma, WA1275178766
- Claire AberasturiSpokane, WA1740686146
- Jessie Abercrombie, SUDP-TWenatchee, WA1174075543
- James AbitzSpokane, WA1144722208
- Charlene Abrahamson, CDPElma, WA1558543454
- Elisabeth Abrahamson, CDPTacoma, WA1285888164
- Xandra Abram, SUDPTSeattle, WA1295517779
- Suleyma Abrams, SUDPTSunnyside, WA1962141366
Common questions
What is Miranda Jaksha, SUDP-T's NPI number?
Miranda Jaksha, SUDP-T's National Provider Identifier (NPI) is 1174355499, issued on Aug 15, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Miranda Jaksha, SUDP-T located?
The NPPES record lists a practice address at 900 Fir St, Longview, WA, 98632. Phone: (360) 353-9422. Providers update this record themselves, so call before visiting.
How can I verify Miranda Jaksha, SUDP-T's license?
NPPES lists Washington license number 61491028, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.