Mirian T. Beas, MFT ASSOCIATE

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

117270 Issued in CA

Practice address

12968 Frederick St Ste a
Moreno Valley, CA 92553-5229

Phone

(951) 208-0150

Fax

(951) 204-0409

NPI assigned

Mar 7, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1902104540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROOSEVELT ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791168",
            "telephone_number": "951-254-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12968 FREDERICK ST STE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535229",
            "telephone_number": "951-208-0150",
            "fax_number": "951-204-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Roosevelt St",
            "address_2": "401 Roosevelt St.",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928791168",
            "country_code": "US",
            "telephone_number": "951-254-6047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAS",
        "first_name": "MIRIAN",
        "middle_name": "T.",
        "name_prefix": "Miss",
        "credential": "MFT ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.