Individual provider Active NPI

Miriam Robb, MFT

  • Marriage & Family Therapist
  • Aliso Viejo, CA
National Provider Identifier
1487990412
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
51337 Issued in CA
Practice address
81 Abbeywood LN
Aliso Viejo, CA 92656-2907
Phone
(949) 942-3207
NPI assigned
Dec 19, 2012
Last updated
Sep 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 51337 CA Primary

Addresses

Primary practice location

81 Abbeywood LN
Aliso Viejo, CA 92656-2907

Mailing address

81 Abbeywood LN
Aliso Viejo, CA 92656-2907
Phone (949) 942-3207

Other practice location 1

2001 S. Barrington Blvd #215
West Los Angeles, CA 90025
Phone (831) 777-6253

Other names 1

  • Miriam Barsoum Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260407000914 CA Practitioner - Marriage and Family Therapist 9830664911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

81 Abbeywood LN
Aliso Viejo, CA 92656-2907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Warrior Wisdom Wellness, Inc. Marriage & Family Therapist CurrentSince Sep 15, 2024 Accepting new patients
Sacred Roots Alchemy PastSince Sep 15, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1487990412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 ABBEYWOOD LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562907",
            "telephone_number": "949-942-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 ABBEYWOOD LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562907",
            "telephone_number": "949-942-3207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S. Barrington Blvd #215",
            "address_purpose": "LOCATION",
            "city": "West Los Angeles",
            "state": "CA",
            "postal_code": "90025",
            "country_code": "US",
            "telephone_number": "831-777-6253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBB",
        "first_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "BARSOUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.