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JOHN A MIRANDA LPC, LCDC
NPI 1104479930
Psychologist - Addiction (Substance Use Disorder) in San Antonio, TX

Active since July 21, 2019
110 E HOUSTON ST, SAN ANTONIO, TX 78205(210) 414-4327(210) 451-0492 Get Directions Write a Review

NPPES record last updated: April 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2021, Jul 21, 2019 (2 updates tracked since 2019).

About John A Miranda Lpc, Lcdc NPPES

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

JOHN A MIRANDA LPC, LCDC (NPI 1104479930) is an individual addiction (substance use disorder) provider in San Antonio, Texas, licensed in Texas (115868) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1104479930
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameJOHN A MIRANDACredential: LPC, LCDC
Location Address110 E HOUSTON STSan Antonio, TX 78205-2990
Mailing Address5300 Encanta St Apt 402San Antonio, TX 78233-6459 · (726) 300-4948 · Fax (210) 451-0492
Phone(210) 414-4327
Fax(210) 451-0492
Sole ProprietorYes
Enumeration DateJuly 21, 2019
Last NPPES UpdateApril 18, 20212 updates tracked since enumeration
NPPES CertifiedApril 18, 2021
✔ NPI 1104479930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License✔ Licensed in TX · 115868
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 115868 (TX)
110 E HOUSTON ST, San Antonio, TX 78205
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

EILEEN MCKENNA
Massage Therapist
110 E HOUSTON ST
SAN ANTONIO, TX 78205
Bexar County (210) 465-2599
RAOKI WELLNESS INSTITUTE, LLC
Community/Behavioral Health
110 E HOUSTON ST, 7TH FLOOR RAOKI
SAN ANTONIO, TX 78205
Bexar County (210) 364-9727

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 John Miranda's NPI number?

The NPI number for John Miranda is 1104479930. It was assigned to this individual provider in the NPPES registry on July 21, 2019.

Where is John Miranda located?

John Miranda practices at 110 E Houston St, San Antonio, TX 78205. The listed phone number is (210) 414-4327.

What is John Miranda's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for John Miranda was last updated on April 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.