DOMINIQUE MIRA
NPI 1013791425
Counselor - Addiction (Substance Use Disorder) in Long Beach, CA

Active since August 24, 2023
5190 ATLANTIC AVE, LONG BEACH, CA 90805(562) 428-4111 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2023, Aug 28, 2023, Aug 24, 2023 (3 updates tracked since 2023).

About Dominique Mira NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE MIRA (NPI 1013791425) is an individual addiction (substance use disorder) provider in Long Beach, California and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1013791425
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDOMINIQUE MIRA
Location Address5190 ATLANTIC AVELong Beach, CA 90805-6510
Mailing Address5190 Atlantic AveLong Beach, CA 90805-6510 · (562) 428-4111
Sole ProprietorNo
Enumeration DateAugust 24, 2023
Last NPPES UpdateNovember 13, 20233 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
NPI 1013791425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
5190 ATLANTIC AVE, Long Beach, CA 90805

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
5190 ATLANTIC AVE
LONG BEACH, CA 90805
Substance Abuse Rehabilitation Facility
5190 ATLANTIC AVE
LONG BEACH, CA 90805
Case Manager/Care Coordinator
5190 ATLANTIC AVE
LONG BEACH, CA 90805
Case Manager/Care Coordinator
5190 ATLANTIC AVE
LONG BEACH, CA 90805
Social Worker (Clinical)
5190 ATLANTIC AVE
LONG BEACH, CA 90805
Health Educator
5190 ATLANTIC AVE
LONG BEACH, CA 90805
Counselor (Mental Health)
5190 ATLANTIC AVE
LONG BEACH, CA 90805
Social Worker (Clinical)
5190 ATLANTIC AVE
LONG BEACH, CA 90805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Mira's NPI number?

The NPI number for Dominique Mira is 1013791425. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Dominique Mira located?

Dominique Mira practices at 5190 Atlantic Ave, Long Beach, CA 90805. The listed phone number is (562) 428-4111.

What is Dominique Mira's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dominique Mira was last updated on November 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.