Miracle January

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

91868 Issued in CA

Practice address

3281 E Guasti Rd Ste 440
Ontario, CA 91761-7635

Phone

(909) 323-7100

NPI assigned

Apr 7, 2017

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

Other names 1

• Miracle McLean Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Forward Wellness Family Therapy, Inc.

  • Community/Behavioral Health Agency
  • Placentia, CA
  • NPI 1093398059
  Medicare reassignment NPD

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1316470263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16461 CEDAR VIEW LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364740",
            "telephone_number": "323-408-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 E GUASTI RD STE 440",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617635",
            "telephone_number": "909-323-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21250 Box Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925578705",
            "country_code": "US",
            "telephone_number": "951-369-8036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41990 Cook St",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922116100",
            "country_code": "US",
            "telephone_number": "951-666-3297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6800 Indiana Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925064287",
            "country_code": "US",
            "telephone_number": "951-666-3297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANUARY",
        "first_name": "MIRACLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRACLE",
            "last_name": "MCLEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacquiline Rances Jamora
• Nadia Janini
• Bertrand Janne D'Othee, M.D.
• Rosalind Jannice
• Amanda Jansen
• Lynette Jara-Chaidez
• Alyssa Jaramillo
• Maria Jaramillo, LCSW
• Marissa Jaramillo
• Jessica Jarboe, RBT

• Marriage & Family Therapist in Ontario, CA
• Providers in Ontario, 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 May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.