Mikaya Moronkola

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

324500000X Issued in CA

Practice address

682 Briergate Way
Hayward, CA 94544-7245

Phone

(510) 487-2910

NPI assigned

Jul 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Magnolia Women's Recovery Programs, Inc.

  • Substance Abuse Rehabilitation Facility
  • Oakland, CA
  • NPI 1154752772
  NPD (past)
• Magnolia Women's Recovery Programs, Inc.

  • Substance Abuse Rehabilitation Facility
  • Hayward, CA
  • NPI 1528258670
  NPD (past)

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1194563023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EMBARCADERO CV",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065214",
            "telephone_number": "510-535-1344",
            "fax_number": "510-535-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 BRIERGATE WAY",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447245",
            "telephone_number": "510-487-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORONKOLA",
        "first_name": "MIKAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "324500000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Morgenroth
• Nicholas Andrew Morgheim
• Taylor Moriarty
• Gideon Morikang
• Victoria Morin
• Caitlin Anne Griffing Morse, RN
• Andrea Moses
• Mostaghimi Foot & Ankle Inc.
• Bita Mostaghimi, D.P.M.
• Jean-Paul D. Motamedi, DO

• Addiction (Substance Use Disorder) Counselor in Hayward, CA
• Providers in Hayward, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.