Individual provider Active NPI

Alexandra Marvel Miranda-Castillo, LMFT

  • Marriage & Family Therapist
  • Hamden, CT
National Provider Identifier
1548983133
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
27.003357 Issued in CT
Practice address
2285 Whitney Ave Ste 1
Hamden, CT 06518-3533
Phone
(203) 200-0346
NPI assigned
Sep 20, 2022
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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 27.003357 CT Primary

Addresses

Primary practice location

2285 Whitney Ave Ste 1
Hamden, CT 06518-3533

Mailing address

212 Blohm St Apt 2
West Haven, CT 06516-6007
Phone (203) 600-4546

Other identifiers 1

IdentifierTypeStateIssuer
3357OtherCTLICENSED MARITAL AND FAMILY THERAPIST

Other names 1

  • Ms. Alexandra Marvel Miranda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 23, 2026 through Mar 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27.003357CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Bluest Iris PLLC Marriage & Family Therapist Current Accepting new patients

Organizations & group practices 1

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1548983133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BLOHM ST APT 2",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065166007",
            "telephone_number": "203-600-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 WHITNEY AVE STE 1",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183533",
            "telephone_number": "203-200-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-CASTILLO",
        "first_name": "ALEXANDRA",
        "middle_name": "MARVEL",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "27.003357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARITAL AND FAMILY THERAPIST",
            "identifier": "3357",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "MIRANDA",
            "middle_name": "MARVEL",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.