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MS. ELIZABETH M MIRANDA M.A., MFT
NPI 1073646220
Marriage & Family Therapist in Oakland, CA

Active since March 14, 2007PECOS Enrolled
4000 BROADWAY, SUITE 4, OAKLAND, CA 94611(510) 992-3630(877) 595-1829 Get Directions Write a Review

NPPES record last updated: June 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Elizabeth M Miranda M.a., Mft NPPES

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

MS. ELIZABETH M MIRANDA M.A., MFT (NPI 1073646220) is an individual marriage & family therapist in Oakland, California, licensed in California (48445) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1073646220
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. ELIZABETH M MIRANDACredential: M.A., MFT
Location Address4000 BROADWAY, SUITE 4Oakland, CA 94611-5670
Mailing Address1441 Creekside Dr Apt 1067Walnut Creek, CA 94596-5621 · (510) 992-3630 · Fax (877) 595-1829
Phone(510) 992-3630
Fax(877) 595-1829
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 14, 2007
Last NPPES UpdateJune 14, 2014
✔ NPI 1073646220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 48445
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4000 BROADWAY, Oakland, CA 94611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elizabeth M Miranda M.a., Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335637990
PECOS Enrollment IDI20251024001130
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

EVE BAZO LCSW
Social Worker (Clinical)
4000 BROADWAY, SUITE 1
OAKLAND, CA 94611
Alameda County (510) 214-3788
MS. MOSI MAYS-MIREMBE MFT
Marriage & Family Therapist
4000 BROADWAY, SUITE 3
OAKLAND, CA 94611
Alameda County (510) 301-1443
JUANITA M DIMAS PH.D.
Psychologist (Clinical)
4000 BROADWAY, SUITE 1
OAKLAND, CA 94611
Alameda County (510) 769-2937
SHANNON SHERNEICE RUCKER MFT
Marriage & Family Therapist
4000 BROADWAY, SUITE #3
OAKLAND, CA 94611
Alameda County (510) 725-7450

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 Elizabeth Miranda's NPI number?

The NPI number for Elizabeth Miranda is 1073646220. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Elizabeth Miranda located?

Elizabeth Miranda practices at 4000 Broadway Suite 4, Oakland, CA 94611. The listed phone number is (510) 992-3630.

What is Elizabeth Miranda's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Elizabeth Miranda enrolled in Medicare?

Yes. Elizabeth Miranda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Miranda was last updated on June 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.