Leslie Elizabeth Miranda

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

87594 Issued in CA

Practice address

1601 Carmen Dr Ste 102
Camarillo, CA 93010-3103

Phone

(805) 625-3786

Fax

(805) 427-9047

NPI assigned

Apr 29, 2015

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

Opted out of Medicare

Yes, effective May 2, 2024 through May 2, 2028

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.

• Camarillo Center for Individual and Family Counseling, Inc.

  • Mental Health Counselor
  • Camarillo, CA
  • NPI 1780150276
  NPD (past) Authorized official

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1275910143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR STE 102",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103103",
            "telephone_number": "805-625-3786",
            "fax_number": "805-427-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR STE 102",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103103",
            "telephone_number": "805-625-3786",
            "fax_number": "805-427-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "LESLIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Rod Miramontez
• Alberto Miranda
• Andrea M. Miranda
• Cristina Miranda
• Jennah Renay Miranda, B.S.
• Kanika Mirji, M.S., CF-SLP
• Yashwanthi Mirji, LMFT
• Abiel Misgina
• Michael Corrigan Mishou, REGISTERED NURSE
• Mission Oaks Counseling and Wellness Center, Inc.

• Marriage & Family Therapist in Camarillo, CA
• Providers in Camarillo, 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 Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.