Miranda Counseling & Consulting Licensed Clinical Social Worker, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIRANDA COUNSELING & CONSULTING LICENSED CLINICAL SOCIAL WORKER, INC.

Practice address

2204 S El Camino Real Ste 305
Oceanside, CA 92054-6376

Phone

(760) 509-2360

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Mayola Miranda, LCSW

Title

Licensed Clinical Social Worker/Ceo

Phone

(760) 509-2360

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1184320095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8685",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928120685",
            "telephone_number": "760-509-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S EL CAMINO REAL STE 305",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546376",
            "telephone_number": "760-509-2360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 W Chapman Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928682316",
            "country_code": "US",
            "telephone_number": "760-509-2360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRANDA COUNSELING & CONSULTING LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "MAYOLA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER/CEO",
        "authorized_official_telephone_number": "760-509-2360",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB344989",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kira Lea Minot, RD
• Mira Costa Community College District
• Tina W Mirabella, LVN
• Golsar Mirabolfathi, PHARM.D
• Heather Ladawn Miramontes
• Dina Estela Miranda Henriquez
• Mayola Miranda, LCSW
• Armin Miresmaili, DDS
• Nabat Mirpourian, CRNP
• Mission Cove Dentists, Prof. Corp

• Mental Health Counselor in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.