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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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Miranda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Pain Management Medical Group, Inc.
14 mi
Pain Medicine
450 N WIGET LN
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 137 clinicians in this Medicare group
NPI 1922198779 (925) 691-9806

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 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.

Which organization bills Medicare for Elizabeth Miranda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Miranda reassigns Medicare benefits to Integrated Pain Management Medical Group, Inc. (Walnut Creek, 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 Elizabeth Miranda'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 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.