Individual provider Active NPI

Emily Jean Miesner, LMFT

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1700424629
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138845 Issued in CA
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

Updated by the provider on May 7, 2024

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710003266 CA Practitioner - Marriage and Family Therapist 4486199833 Reassigns benefits to 2 organizations

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
Sokyahealth Medical Group PCGroup PAC ID 8628463015, 180 clinicians

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

LicenseStateTypeSpecialty
138845CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince May 1, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Sokyahealth Medical Group PC Marriage & Family Therapist CurrentSince Dec 3, 2024 Accepting new patients
Sensible Care, a Medical Corporation CurrentSince May 21, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 1, 2024 Accepting new patients
Headlight Health Medical Group PLLC CurrentSince Mar 14, 2026 Accepting new patients
Footprints Behavioral Interventions, Inc. Behavior Technician PastSince Dec 15, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.