Active NPI
Ana B Miramontes
- Professional Counselor
- Modesto, CA
National Provider Identifier
1033239843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 49034
- Practice address
- 2000 W Briggsmore Ave Ste I
Modesto, CA 95350-3839 - Phone
- (209) 631-1956
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 49034 | CA | Primary |
Addresses
Primary practice location
2000 W Briggsmore Ave Ste I
Modesto, CA 95350-3839
Mailing address
2000 W Briggsmore Ave Ste I
Modesto, CA 95350-3839
Phone (209) 631-1956
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260123003365 | CA | Practitioner - Marriage and Family Therapist | 0042797656 | Practice locations: Modesto, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2020 Coffee Rd
Suite H3
Modesto, CA 95355-2416
Phone (209) 631-1956
3013 Point Grey Rd
Ceres, CA 95307-9221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49034 | CA | MD | Marriage & Family Therapist |
| 46074 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1033239843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 W BRIGGSMORE AVE STE I",
"city": "MODESTO",
"state": "CA",
"postal_code": "953503839",
"telephone_number": "209-631-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W BRIGGSMORE AVE STE I",
"city": "MODESTO",
"state": "CA",
"postal_code": "953503839",
"telephone_number": "209-631-1956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRAMONTES",
"first_name": "ANA",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "49034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.