Individual provider Active NPI

Ana Laura Miskulin

  • Mental Health Counselor
  • City of Industry, CA
National Provider Identifier
1174063739
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ASW70400 Issued in CA
Practice address
18623 Gale Ave
City of Industry, CA 91748-1342
Phone
(626) 839-0300
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW70400 CA Primary

Addresses

Primary practice location

18623 Gale Ave
City of Industry, CA 91748-1342

Mailing address

PO Box 434
Corona, CA 92878-0434
Phone (714) 869-6744

Other names 1

  • Ana Laura Miskulin Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251222003166 CA Practitioner - Clinical Social Worker 3870088370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15497 W Sand St
Victorville, CA 92392-2910

2318 Heritage Dr
Corona, CA 92882-5776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW70400CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Psychological Services CurrentSince Sep 30, 2025 Accepting new patients

Locations

15497 W Sand St
Victorville, CA 92392
Phone (442) 327-9311

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.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1174063739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 434",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928780434",
            "telephone_number": "714-869-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18623 GALE AVE",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481342",
            "telephone_number": "626-839-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKULIN",
        "first_name": "ANA",
        "middle_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW70400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "MISKULIN",
            "middle_name": "LAURA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in City of Industry, CA

Sources for this page

Verify at the official NPI Registry.