Individual provider Active NPI

Angella Mae Maybituin Miranda

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1417831884
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
601 S Rancho Dr Ste A10
Las Vegas, NV 89106-4898
Phone
(702) 437-4673
NPI assigned
Jul 31, 2025
Last updated
Mar 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NV Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

601 S Rancho Dr Ste A10
Las Vegas, NV 89106-4898

Mailing address

10267 Eve Springs St
Las Vegas, NV 89178-6506
Phone (725) 258-5548

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

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1417831884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10267 EVE SPRINGS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891786506",
            "telephone_number": "725-258-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR STE A10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064898",
            "telephone_number": "702-437-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ANGELLA MAE",
        "middle_name": "MAYBITUIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

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