Miriam A Collada, LPCC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10633 Issued in CA

Practice address

2525 Camino del Rio S Ste 205
San Diego, CA 92108-3719

Phone

(619) 764-3764

NPI assigned

Sep 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 2, 2024 through Dec 2, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1538710322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 365",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081627",
            "telephone_number": "619-764-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083719",
            "telephone_number": "619-764-3764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3702 4th Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921034203",
            "country_code": "US",
            "telephone_number": "359-261-9346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLADA",
        "first_name": "MIRIAM",
        "middle_name": "A",
        "credential": "LPCC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C9769",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130358",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "10633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovanna Colin
• Kenneth F Colina, MD
• Keri Michelle Colio, AUD
• Collaborative Minds Psychology Inc.
• Collaborative Psychological Services, Inc.
• Daniel T Collado, DMD
• Miko Nepomuceno Collado
• Clarence Balfermoso Collantes
• Eric Balfermoso Collantes, RN
• Alannah Rose Collat

• Professional Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.