Mission Oaks Counseling and Wellness Center, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT 29818 Issued in CA

Legal business name

MISSION OAKS COUNSELING AND WELLNESS CENTER, INC.

Practice address

1100 Flynn Rd
Suite 201
Camarillo, CA 93012-8737

Phone

(805) 482-7724

Fax

(805) 618-6250

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Christine Wonders, MS, LMFT

Title

Owner/Psychotherapist

Phone

(805) 482-7724

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tristen Vance, LMFT

  • Marriage & Family Therapist
  • Camarillo, CA
  • NPI 1467579227
  NPD (past)

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1053652057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FLYNN RD",
            "address_2": "SUITE 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128737",
            "telephone_number": "805-482-7724",
            "fax_number": "805-618-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FLYNN RD",
            "address_2": "SUITE 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128737",
            "telephone_number": "805-482-7724",
            "fax_number": "805-618-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION OAKS COUNSELING AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "WONDERS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "805-482-7724",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 29818",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 49417",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "CA",
            "license": "294473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Elizabeth Miranda
• Kanika Mirji, M.S., CF-SLP
• Yashwanthi Mirji, LMFT
• Abiel Misgina
• Michael Corrigan Mishou, REGISTERED NURSE
• Marshon Anthony Mitchell
• Molly Maureen Mitchell, NP
• Gary K Mo, MD
• Eugene Albert Modell, PH.D.
• Parvin Mohebban, PT

• Marriage & Family Therapist in Camarillo, CA
• Providers in Camarillo, 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 Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.