Nicole D Miramontes

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT129503 Issued in CA

Practice address

1555 Parkmoor Ave
San Jose, CA 95128-2407

Phone

(408) 282-4050

Fax

(408) 282-0400

NPI assigned

Sep 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hope Services

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1861445306

  Mental Health

  NPD

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1992475479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 PARKMOOR AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282407",
            "telephone_number": "408-282-4050",
            "fax_number": "408-282-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 PARKMOOR AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282407",
            "telephone_number": "408-282-4050",
            "fax_number": "408-282-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAMONTES",
        "first_name": "NICOLE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "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": "AMFT129503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjereen Mirabueno
• Miracle Wands Clinic
• Hafiz M. Miraly, MD
• Christina Marie Miramon-Gomez
• Nathan Andre Miramon
• Osvaldo I Miranda Medina
• Celinda E. Miranda, LCSW, PPSC
• Edwin Raul Miranda
• George Anthony Miranda, LMFT
• Jennifer Miranda

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, 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 Feb 1, 2022; 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.