JAZMIN MIRANDA COLONGO LMFT
NPI 1093387870
Marriage & Family Therapist in Santa Ana, CA

Q: What is Jazmin Miranda Colongo's NPI number?

The NPI number for Jazmin Miranda Colongo is 1093387870. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Q: What is Jazmin Miranda Colongo's specialty?

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

Active since July 12, 2021PECOS Enrolled

200 W SANTA ANA BLVD STE 801, SANTA ANA, CA 92701(714) 704-5917 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2024, Jul 12, 2021 (2 updates tracked since 2021).

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About Jazmin Miranda Colongo Lmft NPPES

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

JAZMIN MIRANDA COLONGO LMFT (NPI 1093387870) is an individual marriage & family therapist in Santa Ana, California, licensed in California (422138) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093387870

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJAZMIN MIRANDA COLONGOCredential: LMFT

Location Address200 W SANTA ANA BLVD STE 801Santa Ana, CA 92701-4134

Mailing Address200 W Santa Ana Blvd Ste 801Santa Ana, CA 92701-4134

Phone(714) 704-5917

Sole ProprietorNo

Enumeration DateJuly 12, 2021

Last NPPES UpdateMay 7, 20242 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1093387870 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 · 422138

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.

200 W SANTA ANA BLVD STE 801, Santa Ana, CA 92701

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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)

Jazmin Miranda Colongo Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jazmin Miranda Colongo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC

335 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

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.

ISABEL FIGUEROA VILLALOBOS

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