Active NPI
Michael James Miceli, LMFT
- Marriage & Family Therapist
- Aptos, CA
National Provider Identifier
1962692277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT 53383
- Practice address
- 9057 Soquel Drive
Building a Suite H
Aptos, CA 95003 - Phone
- (408) 612-7316
- NPI assigned
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT 53383 | CA | Primary |
Addresses
Primary practice location
9057 Soquel Drive
Building a Suite H
Aptos, CA 95003
Mailing address
9057 Soquel Drive
Building a Suite H
Aptos, CA 95003
Phone (408) 612-7316
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 |
|---|---|---|---|
| LMFT 53383 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miceli Therapy & Wellness | Marriage & Family Therapist | Current | Accepting new patients |
| A New Hope Family Counseling & Consulting Inc | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Aptos, CA
- NPI 1407522642
-
- Marriage & Family Therapist
- Gilroy, CA
- NPI 1093653792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1962692277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9057 SOQUEL DRIVE",
"address_2": "BUILDING A SUITE H",
"city": "APTOS",
"state": "CA",
"postal_code": "95003",
"telephone_number": "408-612-7316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9057 SOQUEL DRIVE",
"address_2": "BUILDING A SUITE H",
"city": "APTOS",
"state": "CA",
"postal_code": "95003",
"telephone_number": "408-612-7316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICELI",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-01",
"last_updated": "2021-10-28",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT 53383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aptos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.