Katherine Michiko Miura, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 47050 Issued in CA

Practice address

4465 Saint Francis PL
La Canada, CA 91011-3128

Phone

(626) 483-4607

Fax

(626) 483-4607

NPI assigned

Mar 23, 2007

Last updated

Feb 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haynes Family of Programs

  • Mental Illness Community Based Residential Treatment Facility
  • La Verne, CA
  • NPI 1164548236
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707609600000",
    "number": "1144347188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 SAWTELLE BLVD STE 610",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257013",
            "telephone_number": "626-483-4607",
            "fax_number": "855-450-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 SAINT FRANCIS PL",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113128",
            "telephone_number": "626-483-4607",
            "fax_number": "626-483-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIURA",
        "first_name": "KATHERINE",
        "middle_name": "MICHIKO",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-02-11",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47050",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 47050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT MENTAL HEALTH",
            "identifier": "7565A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monika E McCoy, PH.D.
• Aaron McGuinness, DPT
• Genessy Mendez, MA, BCBA
• Milan J. Demeter M.D. Inc
• Raffy Mirzayan, MD
• Marjan Moaddeli, PHARMD
• Moiez Khankhanian
• Annie Morgan Flores, MA
• Robert Mossad
• Regine Victoria Muradian, PSY.D.

• Marriage & Family Therapist in La Canada, CA
• Providers in La Canada, 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 Feb 11, 2024; 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.