Meagan Pham Mielke

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

122038 Issued in CA

Practice address

237 Yateley Dr
Vacaville, CA 95687-7953

Phone

(530) 688-6875

NPI assigned

Dec 21, 2020

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forged in Fire Family Therapy Inc

  • Marriage & Family Therapist
  • Vacaville, CA
  • NPI 1316870918
  NPD Authorized official

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1417543745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15757 N 90TH PL APT 2016",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602010",
            "telephone_number": "408-702-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 YATELEY DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877953",
            "telephone_number": "530-688-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELKE",
        "first_name": "MEAGAN",
        "middle_name": "PHAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "8595",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Physical Therapy
• Hannah Krimins Mertens, PA-C
• Adolph William Meyer, OD
• Michael Fiske DC -- White Oak Chiropractic. Inc.
• Barbara Anne Michaels, RPT
• Nancy Mikulin, NP
• Deborah Miller-Teaster, LCSW
• Deborah Miller, LCSW
• Kevin Bradley Miller, PHARMD
• Sheryl Anne Miller, MD

• Marriage & Family Therapist in Vacaville, CA
• Providers in Vacaville, 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 Sep 23, 2026; 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.