Individual provider Active NPI

Amanda Rose Mileda, LMFT

  • Marriage & Family Therapist
  • Santa Clarita, CA
National Provider Identifier
1114459369
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF98227 Issued in CA
Practice address
23236 Lyons Ave Ste 212
Santa Clarita, CA 91321-5014
Phone
(818) 835-2091
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF98227 CA Primary

Addresses

Primary practice location

23236 Lyons Ave Ste 212
Santa Clarita, CA 91321-5014

Mailing address

23236 Lyons Ave Ste 212
Santa Clarita, CA 91321-5014
Phone (818) 835-2091

Other names 1

  • Amanda Rose Miller Former name

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

State licenses

LicenseStateTypeSpecialty
IMF98227CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1114459369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23236 LYONS AVE STE 212",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913215014",
            "telephone_number": "818-835-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23236 LYONS AVE STE 212",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913215014",
            "telephone_number": "818-835-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILEDA",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF98227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MILLER",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.