Active NPI
Alexis Jade Miranda
- School Counselor
- Julian, CA
National Provider Identifier
1851255947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 230195629
- Practice address
- 1704 Cape Horn Avenue
Julian, CA 92036 - Phone
- (619) 772-7743
- NPI assigned
- Dec 12, 2025
- Last updated
- Dec 15, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 230195629 | CA | Primary |
Addresses
Primary practice location
1704 Cape Horn Avenue
Julian, CA 92036
Mailing address
1704 Cape Horn Avenue
Julian, CA 92036
Phone (619) 772-7743
Other practice location 1
28876 Old Hwy 80
Pine Valley, CA 91962
Phone (619) 772-7743
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 |
|---|---|---|---|
| 230195629 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1851255947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 CAPE HORN AVENUE",
"city": "JULIAN",
"state": "CA",
"postal_code": "92036",
"telephone_number": "619-772-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 CAPE HORN AVENUE",
"city": "JULIAN",
"state": "CA",
"postal_code": "92036",
"telephone_number": "619-772-7743"
}
],
"practiceLocations": [
{
"address_1": "28876 Old Hwy 80",
"address_purpose": "LOCATION",
"city": "Pine Valley",
"state": "CA",
"postal_code": "91962",
"country_code": "US",
"telephone_number": "619-772-7743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRANDA",
"first_name": "ALEXIS",
"middle_name": "JADE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-12",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "230195629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Julian, CA
- Julian Cuyamaca Fire Protection
- Julian Pathways, Inc
- Julian Union School District (Julian Union Elementary School District)
- John William Masters, D.D.S., M.S.
- Rochelle McKeon, LMFT
- Regina Victoria Montalvo-Aguilera, L.AC.
- Alexis Marie Mussen
- Pedram Parsi, DDS
- Ro Marriage and Family Therapy, Inc. (Rogue Therapy and Wellness)
- Jennifer Suzanne Roberts, MFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.