ANTHONY MICELI
NPI 1053637371
Marriage & Family Therapist in Modesto, CA
About Anthony Miceli NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTHONY MICELI (NPI 1053637371) is an individual marriage & family therapist in Modesto, California, licensed in California (53523) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anthony Miceli is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Anthony Miceli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MODESTO, CA 95354
MODESTO, CA 95354
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 Anthony Miceli's NPI number?
The NPI number for Anthony Miceli is 1053637371. It was assigned to this individual provider in the NPPES registry on April 12, 2010.
Where is Anthony Miceli located?
Anthony Miceli practices at 121 Downey Ave, Modesto, CA 95354. The listed phone number is (209) 341-1824.
What is Anthony Miceli's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Anthony Miceli enrolled in Medicare?
Yes. Anthony Miceli is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Anthony Miceli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Miceli reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Miceli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anthony Miceli was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Anthony Miceli · NPI 1053637371
Marriage & Family Therapist provider in Modesto, California. Individual provider, active in the CMS NPPES registry since April 12, 2010.
## Identity
- **NPI:** 1053637371 (Entity type: Individual)
- **Enumerated:** April 12, 2010
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 53523 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 121 DOWNEY AVE, Modesto, CA 95354-1208
- **Phone:** (209) 341-1824
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1053637371) · Data from the CMS NPPES public registry.