Jade Grace Miltenberger

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-URIYEO Issued in CA

Practice address

1692 El Camino Real
San Carlos, CA 94070-5208

Phone

(650) 817-9070

Fax

(650) 817-9074

NPI assigned

Aug 4, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Carlos, CA
  • NPI 1598833733
  NPD

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1558245217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940707329",
            "telephone_number": "650-817-9070",
            "fax_number": "650-817-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 EL CAMINO REAL",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705208",
            "telephone_number": "650-817-9070",
            "fax_number": "650-817-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTENBERGER",
        "first_name": "JADE",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-URIYEO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Oholleran MD Inc
• Jose L Milan II
• Jason Miles
• Laura Claire Miller, DDS
• Lori Mills
• Laurel Mines, PT, DPT
• Douglas L. Mitchell
• Keyana Mitchell
• Mobility Equipment Inc
• Mary Chase Mobley, CGC

• Peer Specialist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.