KATHLEEN C MIRA
NPI 1104757012
Health and Wellness Coach in San Rafael, CA
NPI Status: Active since May 28, 2026
Contact Information
1111 LAS GALLINAS AVE
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 491-6616
This NPI profile has been added to the NPI registry within the last 30 days.
- Individual
- Female
- Health and Wellness Coach
About KATHLEEN MIRA
This page provides the complete NPI Profile along with additional information for Kathleen Mira, a provider established in San Rafael, California with a medical specialization in Health And Wellness Coach. The healthcare provider is registered in the NPI registry with number 1104757012 assigned on May 2026. The practitioner's primary taxonomy code is 171400000X. The provider is registered as an individual and her NPI record was last updated May 2026.
- NPI
- 1104757012
- Provider Name
- KATHLEEN C MIRA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1111 LAS GALLINAS AVE SAN RAFAEL, CA 94903
- Location Phone
- (415) 491-6616
- Mailing Address
- 1111 LAS GALLINAS AVE PETALUMA, CA 94954
- Mailing Phone
- (415) 491-6616
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-28-2026
- Last Update Date
- 05-28-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Health and Wellness Coach
- Taxonomy Code
- 171400000X
- Type
- Other Service Providers
- Taxonomy Description
- The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.
Reviews for KATHLEEN C MIRA
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104757012, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104757012, enumerated as an "individual" on May 28, 2026.
The provider is located at 1111 LAS GALLINAS AVE SAN RAFAEL, CA 94903 and the phone number is (415) 491-6616.
Health and Wellness Coach with taxonomy code 171400000X.
