Edgar Alfonso Cruz Miranda, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

131726 Issued in CA

Practice address

2489 Tapo St Ste B
Simi Valley, CA 93063-2453

Phone

(805) 774-1506

NPI assigned

Jun 17, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 10, 2024 through Jan 10, 2028

Medicare enrollment (NPD)

Not 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.

• New Leaf Marriage & Family Therapy, Inc.

  • Marriage & Family Therapist
  • Simi Valley, CA
  • NPI 1013647023
  NPD

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1497486807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 TAPO ST STE B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632453",
            "telephone_number": "805-774-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 TAPO ST STE B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632453",
            "telephone_number": "805-774-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ MIRANDA",
        "first_name": "EDGAR",
        "middle_name": "ALFONSO",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edgar@newleafmft.com",
            "affiliation": "Y",
            "affiliationName": "New Leaf Marriage & Family Therapy, Inc.",
            "address_1": "2489 Tapo St Ste B",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930632453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Crawford
• Matthew Crea
• Crisis Pregnancy Center of Simi Valley
• Julie Cristiano, MSW
• Adam M Cross, LMFT
• Walter Francisco Cueva, C.N.A.00513523
• Alan Curameng
• Mary Jane Curry, RN NP-F
• D'Mission Home Health Services, Inc
• Sonnie M Dacosta, ATC

• Marriage & Family Therapist in Simi Valley, CA
• Providers in Simi Valley, 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 Jun 17, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.