Active NPI
Mariam Harris, LMFT
- Marriage & Family Therapist
- Rancho Santa Margarita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 78002
- Practice address
- 22362 Gilberto Ste 130
Rancho Santa Margari, Ca 92688
Rancho Santa Margarita, CA 92688-2142 - Phone
- (949) 690-5393
- NPI assigned
- Dec 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 78002 | CA | Primary |
Addresses
Primary practice location
22362 Gilberto Ste 130
Rancho Santa Margari, Ca 92688
Rancho Santa Margarita, CA 92688-2142
Mailing address
25 Mauchly Ste 319
Irvine, CA 92618-2361
Phone (949) 690-5393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9713 Santa Monica Blvd
Suite 201
Beverly Hills, CA 90210-4236
Phone (833) 624-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78002 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medens Health | Marriage & Family Therapist | Current | Accepting new patients |
Locations
9713 Santa Monica Blvd
Ste 201
Beverly Hills, CA 90210
Phone (310) 564-5400
2108 N St
Sacramento, CA 95816
Phone (951) 719-7050
402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939
1633 E 4th St
Ste 156
Santa Ana, CA 92701
Phone (562) 452-3893
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1023439031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MAUCHLY STE 319",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182361",
"telephone_number": "949-690-5393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22362 GILBERTO STE 130",
"address_2": "RANCHO SANTA MARGARI, CA 92688",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882142",
"telephone_number": "949-690-5393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MARIAM",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-17",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "78002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Santa Margarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.