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Active NPI 1215574603 Individual Practitioner Female Practitioner

Miranda Denise Bowman , MSHR CRC NCC LPC

Counselor - Professional • Ardmore, OK

Professional Overview & Biography Verified Profile Summary

Miranda Bowman, MSHR CRC NCC LPC is a certified Counselor - Professional practicing in Ardmore, OK. With approximately 7 years of clinical experience since completing medical education in 2019, Miranda Bowman delivers high-quality medical care to the local community at 1013 15TH AVE. NE.

Miranda Bowman is affiliated with Lynch Family Services Llc and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1013 15th Ave. Ne

Ardmore, OK 73401

Telephone 5802384277
Associated Practice Facility / Clinic
🏢 Oklahoma Integrated Care Plc Facility NPI 1316540495

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Ardmore, OK

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -10.3 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Ardmore, OK (2681 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bowman (7 Years) 7 Yrs
Ardmore Specialty Average (17.3 Years) 17.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-10-27
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OK 13029

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License OK 378639

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Hospital & Practice Group Affiliations

Lynch Family Services Llc

333 W Main St, Ardmore, OK 734016321

Phone: 5802242929

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Vena Tawkoyty , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1194521716

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Daniel Zigo , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1518804392

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Tasha Preston , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1811205925

Advanced Registered Nurse Practitioner

Mercy Antony

Nurse Practitioner - Psychiatric/Mental Health

NPI 1881489904

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 27, 2025

Registered at 1013 15TH AVE. NE, ARDMORE, OK 73401 (Tel: 5802384277)

👤
Provider Name / Credentials Updated October 27, 2025

Recorded as MIRANDA BOWMAN, MSHR CRC NCC LPC

📍
Updated Business Mailing Address December 09, 2023

Registered at 3442 EDGEWOOD RD, ARDMORE, OK 734017897 (Tel: 5807681634)

👤
Provider Name / Credentials Updated December 09, 2023

Recorded as MIRANDA BOWMAN, MSHR CRC LPC

NPI Profile Active December 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2019

Registered at 1300 HOPPE BLVD.,, SUITE 5, ADA, OK 74820 (Tel: 5804361222)

📍
Updated Business Mailing Address December 04, 2019

Registered at 1300 HOPPE BLVD.,, SUITE 1, ADA, OK 74820 (Tel: 5804367206)

👤
Provider Name / Credentials Updated December 04, 2019

Recorded as MIRANDA BOWMAN, MSHR CRC LPC CANDIDA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2019

Counselor (License #378639 in OK)

🟢
Initial NPI Registration & Enumeration December 04, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215574603
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2019
Last Update: October 27, 2025
Sole Proprietor: No

Mailing Address

3442 Edgewood Rd

Ardmore, OK 734017897

Phone: 5807681634

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.