Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EMMANUEL JACOB MICKLUS PSS
NPI 1033027578
Peer Specialist in San Diego, CA

Q: What is Emmanuel Micklus's NPI number?

The NPI number for Emmanuel Micklus is 1033027578. It was assigned to this individual provider in the NPPES registry on August 27, 2026.

Q: What is Emmanuel Micklus's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Emmanuel Micklus was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 27, 2026

2251 SAN DIEGO AVE STE A150, SAN DIEGO, CA 92110(619) 800-9856 Get Directions Write a Review

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Emmanuel Jacob Micklus Pss NPPES

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

EMMANUEL JACOB MICKLUS PSS (NPI 1033027578) is an individual peer specialist in San Diego, California, licensed in California (MPSS-PXLOZN) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1033027578

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameEMMANUEL JACOB MICKLUSCredential: PSS

Location Address2251 SAN DIEGO AVE STE A150San Diego, CA 92110-2983

Mailing Address2251 San Diego Ave Ste A150San Diego, CA 92110-2983 · (619) 800-9856

Phone(619) 800-9856

Sole ProprietorYes

Enumeration DateAugust 27, 2026

NPPES CertifiedAugust 27, 2026

✔ NPI 1033027578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in CA · MPSS-PXLOZN

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

2251 SAN DIEGO AVE STE A150, San Diego, CA 92110

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Other Providers at the Same Location NPPES 2

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

JASON ANTHONY BLAIN BERG

Peer Specialist

2251 SAN DIEGO AVE STE A150
SAN DIEGO, CA 92110

San Diego County (619) 675-6008

UNION OF PAN ASIAN COMMUNITIES

Community/Behavioral Health

2251 SAN DIEGO AVE STE A150
SAN DIEGO, CA 92110

San Diego County (619) 455-2108

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 Emmanuel Micklus's NPI number?

The NPI number for Emmanuel Micklus is 1033027578. It was assigned to this individual provider in the NPPES registry on August 27, 2026.

Where is Emmanuel Micklus located?

Emmanuel Micklus practices at 2251 San Diego Ave Ste A150, San Diego, CA 92110. The listed phone number is (619) 800-9856.

What is Emmanuel Micklus's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Emmanuel Micklus was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.