MIRANDA MICHELLE HERRERA (NPI# 1710483300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710483300 |
Entity Type | Individual |
Full Name | MIRANDA MICHELLE HERRERA |
Practice Address |
1887 Monterey Hwy San Jose CA 95112-6192 |
Practice Telephone | 4089719822 |
Mailing Telephone | 4089719822 |
Enumeration Date | 2018-04-02 |
Last Update Date | 2018-04-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1401 Parkmoor Ave Ste 230, San Jose, CA 951263407 | 4089719822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285882126 | Miranda Rene Herrera | Case Manager/Care Coordinator | 1500 Ne Irving St, Portland, OR 97232-2243 | 2008-09-04 |
Street Address |
1887 MONTEREY HWY |
City | SAN JOSE |
State | CA |
Zip Code | 95112-6192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225172489 | Dana Lynn Hudson | Marriage & Family Therapist | 1887 Monterey Hwy, San Jose, CA 95112 | 2007-02-19 |
1790252062 | Angela Amaranta Lopez-miranda | Behavior Technician | 1887 Monterey Hwy, San Jose, CA 95112-6192 | 2018-10-25 |
1508333774 | Maritza Garcia | Behavior Technician | 1887 Monterey Hwy, San Jose, CA 95112-6192 | 2018-10-25 |
1336614239 | Mikaela Jaide Hipolito | Behavior Technician | 1887 Monterey Hwy, San Jose, CA 95112-6192 | 2018-10-06 |
1699240598 | Callie Rachel Marie Robles | Behavior Technician | 1887 Monterey Hwy, San Jose, CA 95112-6192 | 2018-10-06 |
1386124998 | Amy J Avina | Counselor | 1887 Monterey Hwy, San Jose, CA 95112 | 2018-08-14 |
1598243859 | Gaina Jamison | Counselor | 1887 Monterey Hwy, San Jose, CA 95112 | 2018-07-30 |
1962998757 | Melissa Noel | Counselor | 1887 Monterey Hwy, San Jose, CA 95112 | 2018-07-05 |
1598261612 | Kelly Lynne Batz | Physician Assistant | 1887 Monterey Hwy, San Jose, CA 95112-6192 | 2018-04-05 |
1194221960 | Briana Williams | Counselor | 1887 Monterey Hwy, San Jose, CA 95112-6192 | 2018-04-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
Find all providers in zip 95112 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276430 | Tuong-vi T Tran | Counselor | 1340 Tully Rd Ste 301&304, San Jose, CA 95122-3055 | 2020-08-21 |
1013531995 | Ellen Noon | Counselor | 1760 The Alameda, San Jose, CA 95126-1728 | 2020-06-05 |
1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
1497314645 | Katherine Cairns | Counselor | 650 S Bascom Ave Ste B, San Jose, CA 95128-2601 | 2019-06-11 |
1861051542 | James Bernard Clark | Counselor | 5739 Almaden Rd Apt 4, San Jose, CA 95118-3623 | 2019-06-06 |
1891358677 | Mckenna Talley | Counselor | 150 Bernal Rd, San Jose, CA 95119-1304 | 2019-04-17 |
1548734130 | Rachel Ruiz II | Counselor | 9505 Malech Rd, San Jose, CA 95138-2002 | 2019-01-16 |
1275008435 | Sieglinde Kay Oorton-wright | Counselor | 2963 Sunburst Dr, San Jose, CA 95111-2265 | 2018-10-03 |
1689168346 | Alexandra Grandy | Counselor | 2939 David Ave, San Jose, CA 95128-4423 | 2018-06-17 |
1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
Find all providers in SAN JOSE |
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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.