Sandra Denise Mireles, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

68031 Issued in TX

Practice address

5901 Long Dr
Houston, TX 77087-1003

Phone

(713) 970-7000

Fax

(713) 970-7246

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

• Safe Mind Space Counseling Group LLC

  • Clinical Social Worker
  • Houston, TX
  • NPI 1508632555

  Mental Health

  Medicare reassignment NPD
• The Harris Center for Mental Health and Idd

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1346293156

  Single Specialty

  Medicare reassignment NPD
• The Harris Center for Mental Health and Idd

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1417962010
  NPD (past)

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1346989167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 LONG DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770871003",
            "telephone_number": "832-578-2873",
            "fax_number": "713-970-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 LONG DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770871003",
            "telephone_number": "713-970-7000",
            "fax_number": "713-970-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELES",
        "first_name": "SANDRA",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68031",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amada Mireles, LMT, COTA, CMLDT
• Christine Mireles IV
• Dylan Mireles, RBT
• Jamir Encarnacion Mireles, MD
• Nabor Stephen Mireles III
• Dawn M Mires, LPC
• Sophie Mireskandari
• Mireva Wellness
• Felicia L Mirghassemi, LPC
• Miguel V Miro-Quesada, M. D.

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.