Miriam Audelina Miranda Lamadrid, APCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

APCC9172 Issued in CA

Practice address

12968 Frederick St Ste a
Moreno Valley, CA 92553-5229

Phone

(951) 242-7738

Fax

(951) 208-0409

NPI assigned

May 27, 2021

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

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1629644984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12536 PENSKE ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535207",
            "telephone_number": "951-965-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12968 FREDERICK ST STE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535229",
            "telephone_number": "951-242-7738",
            "fax_number": "951-208-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA LAMADRID",
        "first_name": "MIRIAM",
        "middle_name": "AUDELINA",
        "name_prefix": "Mrs.",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "APCC9172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Chastity Mims
• Aung Myo Min, D.D.S.
• Nicolas Kyung Joon Min, PHARMD
• Mindful Meadows Therapy
• Jacqueline Miramontes
• Karla Miranda-Sosa I
• Abigail Rainae Miranda
• Ana Miranda
• Cristina Miranda
• Jacqueline Miranda

• Addiction (Substance Use Disorder) Counselor in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.