Active NPI
Emily Jean Miesner, LMFT
- Marriage & Family Therapist
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 138845
- Practice address
- 2677 N Main St Ste 130
Santa Ana, CA 92705-6665 - Phone
- (800) 801-9833
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 138845 | CA | Primary |
Addresses
Primary practice location
2677 N Main St Ste 130
Santa Ana, CA 92705-6665
Mailing address
PO Box 7352
Laguna Niguel, CA 92607-7352
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5060 Shoreham PL
Suite 230
San Diego, CA 92122-5977
Phone (877) 840-6956
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138845 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Sokyahealth Medical Group PC | Marriage & Family Therapist | Current | Accepting new patients |
| Sensible Care, a Medical Corporation | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Headlight Health Medical Group PLLC | Current | Accepting new patients | |
| Footprints Behavioral Interventions, Inc. | Behavior Technician | Past | Accepting new patients |
Locations
5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088
441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000
2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998
5060 Shoreham Pl
Ste 230
San Diego, CA 92122
2677 N Main St
Ste 130
Santa Ana, CA 92705
Phone (714) 274-7577
2677 N Main St
Ste 110
Santa Ana, CA 92705
Phone (657) 232-1139
Interoperability endpoints
- emily.miesner.p1@direct.sokya.nextgenshare.com
Organizations & group practices 7
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.
-
- Mental Health Counselor
- San Diego, CA
- NPI 1942970330
Marriage & Family Therapist
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Psychiatry Physician
- San Diego, CA
- NPI 1649064486
-
- Psychiatry Physician
- Santa Ana, CA
- NPI 1205368941
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Anaheim, CA
- NPI 1952333460
-
- Early Intervention Provider Agency
- Santa Ana, CA
- NPI 1780978858
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1700424629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7352",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926077352",
"fax_number": "714-596-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2677 N MAIN ST STE 130",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056665",
"telephone_number": "800-801-9833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIESNER",
"first_name": "EMILY",
"middle_name": "JEAN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-11",
"last_updated": "2024-05-07",
"certification_date": "2023-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "138845",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "441 N Lakeview Ave",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928073028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.