Active NPI
Miriam Guijarro
- Marriage & Family Therapist
- San Fernando, CA
National Provider Identifier
1841502242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 141210
- Practice address
- 566 S Brand Blvd
San Fernando, CA 91340 - Phone
- (818) 898-0223
- Fax
- (818) 361-5384
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 107599 | CA | |
| Marriage & Family Therapist | 106H00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 141210 | CA | Primary |
Addresses
Primary practice location
566 S Brand Blvd
San Fernando, CA 91340
Mailing address
566 S Brand Blvd
San Fernando, CA 91340-4002
Phone (818) 898-0223
Other practice location 1
15317 Rayen St
North Hills, CA 91343-5117
Phone (818) 892-3423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107599 | CA | MD | Mental Health Counselor |
| 141210 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro de Amistad, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- San Fernando, CA
- NPI 1184740623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1841502242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 S BRAND BLVD",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404002",
"telephone_number": "818-898-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 S BRAND BLVD",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "91340",
"telephone_number": "818-898-0223",
"fax_number": "818-361-5384"
}
],
"practiceLocations": [
{
"address_1": "15317 Rayen St",
"address_purpose": "LOCATION",
"city": "North Hills",
"state": "CA",
"postal_code": "913435117",
"country_code": "US",
"telephone_number": "818-892-3423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUIJARRO",
"first_name": "MIRIAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "107599",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "141210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.