Active NPI
Mireya Corona, M.A., LMFT
- Marriage & Family Therapist
- Van Nuys, CA
National Provider Identifier
1356697429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 97025
- Practice address
- 14535 Sherman Cir
Van Nuys, CA 91405-3087 - Phone
- (818) 901-4930
- Fax
- (818) 785-4118
- NPI assigned
- Jul 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | IMF75607 | CA | |
| Marriage & Family Therapist | 106H00000X | 97025 | CA | Primary |
Addresses
Primary practice location
14535 Sherman Cir
Van Nuys, CA 91405-3087
Mailing address
14535 Sherman Cir
Van Nuys, CA 91405-3087
Phone (818) 901-4930
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7420 | Medicaid | CA | |
| 7068 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97025 | CA | MD | Marriage & Family Therapist |
| IMF75607 | CA | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1356697429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14535 SHERMAN CIR",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053087",
"telephone_number": "818-901-4930",
"fax_number": "818-785-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14535 SHERMAN CIR",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053087",
"telephone_number": "818-901-4930",
"fax_number": "818-785-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONA",
"first_name": "MIREYA",
"name_prefix": "Ms.",
"credential": "M.A., LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-26",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "IMF75607",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "97025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7420",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7068",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.