KELLY MIYAKAWA (NPI# 1174907117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174907117 |
| Entity Type | Individual |
| Full Name | KELLY MIYAKAWA |
| Practice Address |
812 W Town and Country Rd Orange CA 92868-4712 |
| Mailing Address |
155 Park Ave 6 Long Beach CA 90803 |
| Practice Telephone | 7145476494 |
| Mailing Telephone | 9097203591 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
812 W TOWN AND COUNTRY RD |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326026691 | Suzanne Elizabeth Olah-macek | Occupational Therapy Assistant | 812 W Town and Country Rd, Orange, CA 92868-4712 | 2006-01-05 |
| 1326569674 | Linda Romo | Social Worker | 812 W Town and Country Rd, Orange, CA 92868-4712 | 2017-06-27 |
| 1205362688 | Sanela Kljajic | Marriage & Family Therapist | 812 W Town and Country Rd, Orange, CA 92868-4712 | 2017-05-04 |
| 1609300110 | Mariposa Women and Family Center | Community/Behavioral Health | 812 W Town and Country Rd, Orange, CA 92868-4712 | 2017-04-12 |
| 1922546829 | Farbod Khalafi | Marriage & Family Therapist | 812 W Town and Country Rd, Orange, CA 92868-4712 | 2017-02-10 |
| 1316480205 | Mary Ellen Glaser | Social Worker | 812 W Town and Country Rd, Orange, CA 92868-4712 | 2016-11-23 |
| 1376095455 | Valarie Patterson | Counselor | 812 W Town and Country Rd, Orange, CA 92868-4712 | 2016-10-25 |
| 1841657020 | Jazmin Vargas | Counselor | 812 W Town and Country Rd, Orange, CA 92868-4712 | 2016-01-20 |
| 1891152229 | Lucille Tate | Social Worker | 812 W Town and Country Rd, Orange, CA 92868-4712 | 2016-01-15 |
| 1427424357 | Mariposa Women and Family Cetner | Community/Behavioral Health | 812 W Town and Country Rd, Orange, CA 92868-4712 | 2015-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144786963 | Eman Warraich-gibson | Counselor | 249 Reynolds Ter Apt C5, Orange, NJ 07050-3378 | 2019-02-17 |
| 1669937504 | Family Support Network | Counselor | 1894 N Main St, Orange, CA 92865-4117 | 2019-02-05 |
| 1942764394 | Eric M Vingo | Counselor | 284 Racebrook Rd Ste 218, Orange, CT 06477-3103 | 2019-01-29 |
| 1629549753 | Tina Marie Holzinger | Counselor | 705 W La Veta Ave Ste 8&210, Orange, CA 92868 | 2018-12-16 |
| 1548743701 | Ijeoma Marcia Duru- Akabogu | Counselor | 150 Cleveland St Apt B8, Orange, NJ 07050-2762 | 2018-09-12 |
| 1558852335 | Tonia Lee Stephens | Counselor | 4202 N Sunset St, Orange, CA 92865-1421 | 2018-05-28 |
| 1578923611 | Judith Thomas | Counselor | 705 W La Veta Ave Ste 208, Orange, CA 92868 | 2016-03-02 |
| 1669832978 | Amanda Jaroscak | Counselor | 705 W La Veta Ave Ste And210, Orange, CA 92868 | 2016-02-29 |
| 1184099533 | Belinda Jimerson-colston | Counselor | 4303 Tejas Pkwy, Orange, TX 77632-1358 | 2015-12-10 |
| 1942688106 | Jennifer A Unger | Counselor | 395 South Center Street, Orange, NJ 07050 | 2015-05-08 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on KELLY MIYAKAWA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.