Organization Active NPI

Irma Mireles

  • Community/Behavioral Health Agency
  • Fort Worth, TX
National Provider Identifier
1306381827
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
51649 Issued in TX
Legal business name
IRMA MIRELES
Practice address
9624 Mariner Cir
Apt 1206
Fort Worth, TX 76179-3210
Phone
(817) 455-3944
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Ms. Irma Mireles, LCSWNPI 1154861110
Title
Therapist
Phone
(817) 455-3944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 51649 TX Primary

Addresses

Primary practice location

9624 Mariner Cir
Apt 1206
Fort Worth, TX 76179-3210

Mailing address

9624 Mariner Cir
Apt 1206
Fort Worth, TX 76179-3210
Phone (817) 455-3944

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1306381827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9624 MARINER CIR",
            "address_2": "APT 1206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793210",
            "telephone_number": "817-455-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9624 MARINER CIR",
            "address_2": "APT 1206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793210",
            "telephone_number": "817-455-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRMA MIRELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "MIRELES",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "817-455-3944",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "51649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.