Active NPI
Mikaela Marie Vierra, ASW
- Student in an Organized Health Care Education/Training Program
- Corcoran, CA
National Provider Identifier
1053965012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 900 Quebec Ave
Corcoran, CA 93212-9715 - Phone
- (559) 992-7100
- NPI assigned
- Jul 29, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
900 Quebec Ave
Corcoran, CA 93212-9715
Mailing address
311 Douty St
Hanford, CA 93230
Phone (559) 583-9300
Other practice location 1
311 N Douty St
Hanford, CA 93230-3951
Phone (559) 583-9300
Other practice location 2
222 Keith St
Hanford, CA 93230-2910
Phone (559) 583-7800
Other practice location 3
11517 15th ave
Hanford, CA 93230-9323
Phone (559) 583-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390200000X | Other | CDCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champions Recovery Alternative Programs, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Hanford, CA
- NPI 1649547159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1053965012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 DOUTY ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "93230",
"telephone_number": "559-583-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 QUEBEC AVE",
"city": "CORCORAN",
"state": "CA",
"postal_code": "932129715",
"telephone_number": "559-992-7100"
}
],
"practiceLocations": [
{
"address_1": "311 N Douty St",
"address_purpose": "LOCATION",
"city": "Hanford",
"state": "CA",
"postal_code": "932303951",
"country_code": "US",
"telephone_number": "559-583-9300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 Keith St",
"address_purpose": "LOCATION",
"city": "Hanford",
"state": "CA",
"postal_code": "932302910",
"country_code": "US",
"telephone_number": "559-583-7800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11517 15th ave",
"address_purpose": "LOCATION",
"city": "Hanford",
"state": "CA",
"postal_code": "932309323",
"country_code": "US",
"telephone_number": "559-583-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIERRA",
"first_name": "MIKAELA",
"middle_name": "MARIE",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDCR",
"identifier": "390200000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corcoran, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.