Gabrielle M. Miranda, M.S., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

43146 Issued in CA

Practice address

558 San Anselmo Ave Ste C
San Anselmo, CA 94960-2621

Phone

(415) 572-6455

NPI assigned

Jun 3, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1053570366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 SAN ANSELMO AVE STE C",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602621",
            "telephone_number": "415-572-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 SAN ANSELMO AVE STE C",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602621",
            "telephone_number": "415-572-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "GABRIELLE",
        "middle_name": "M.",
        "credential": "M.S., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prapti Mehta, M.D.
• Lauren E Mendez, L.AC.
• Vera Renee Polintan Meyer, DMD
• Alina Gabriela Mihai
• Madrid Miller
• Denise Abansado Modolo, MOT/OTR/L
• Sean Joseph Moloney, D.O.
• Ben Moltman, MFT-I
• Carlyn Marie Montes de Oca, LAC
• Jesse Morris, DC

• Marriage & Family Therapist in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.

Verify at the official NPI Registry.