Active NPI
Miracles Counseling Center, Inc
- Marriage & Family Therapist
- Gardena, CA
National Provider Identifier
1801374954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- MIRACLES COUNSELING CENTER, INC
- Practice address
- 879 W 190TH St Ste 400
Gardena, CA 90248-4223 - Phone
- (310) 819-1055
- Fax
- (310) 943-0494
- NPI assigned
- Aug 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iris Cruet-Rubio, LMFT
- Title
- Founder
- Phone
- (310) 819-1055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Professional Counselor | 101YP2500X | CA | ||
| Psychologist | 103T00000X | CA | ||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | CA | ||
| Clinical Psychologist | 103TC0700X | CA | ||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | CA | ||
| Marriage & Family Therapist | 106H00000X | CA | Primary | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Management Agency | 251B00000X | CA | ||
| Community/Behavioral Health Agency | 251S00000X | CA | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | CA |
Addresses
Primary practice location
879 W 190TH St Ste 400
Gardena, CA 90248-4223
Mailing address
1201 N Catalina Ave Unit 3052
Redondo Beach, CA 90277-8255
Phone (310) 819-1055
National Provider Directory
National Provider DirectoryLocations
1201 N Catalina Ave
Unit 3052
Redondo Beach, CA 90277
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Gardena, CA
- NPI 1285834887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587340800000",
"number": "1801374954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N CATALINA AVE UNIT 3052",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902778255",
"telephone_number": "310-819-1055",
"fax_number": "310-943-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 W 190TH ST STE 400",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484223",
"telephone_number": "310-819-1055",
"fax_number": "310-943-0494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRACLES COUNSELING CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-01",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A",
"authorized_official_last_name": "CRUET-RUBIO",
"authorized_official_first_name": "IRIS",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "310-819-1055",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.