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KATHLEEN C MIRA
NPI 1104757012
Health and Wellness Coach in San Rafael, CA

Active since May 28, 2026
1111 LAS GALLINAS AVE, SAN RAFAEL, CA 94903(415) 491-6616 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen C Mira NPPES

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

KATHLEEN C MIRA (NPI 1104757012) is an individual health and wellness coach provider in San Rafael, California and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1104757012
Entity TypeIndividualFemale
Primary Taxonomy171400000X
Provider Legal NameKATHLEEN C MIRA
Location Address1111 LAS GALLINAS AVESan Rafael, CA 94903-1843
Mailing Address1111 Las Gallinas AvePetaluma, CA 94954-5421 · (415) 491-6616
Phone(415) 491-6616
Sole ProprietorNo
Enumeration DateMay 28, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1104757012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth and Wellness CoachOther Service Providers
Taxonomy Code171400000X
Definition
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.
1111 LAS GALLINAS AVE, San Rafael, CA 94903
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Other Providers at the Same Location NPPES 9

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

LAURA LOPEZ
Social Worker (Clinical)
1111 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 491-6614
MRS. ELAINE MIDDLETON OTR/L
Occupational Therapist
1111 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 485-2435
LAURA BOYD MS OTR/L
Occupational Therapist (Pediatrics)
1111 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 645-5875
CRISTAL RAMOS HERNANDEZ
Marriage & Family Therapist
1111 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 491-6674
CELIA HUGHELL M.S., CCC-SLP
Speech-Language Pathologist
1111 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 472-4110
MR. SCOTT WILDRED OSTENDORF MFT
Marriage & Family Therapist
1111 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 902-2485
DR. JAIME ALBERTO MENDOZA JR. MSW
Social Worker (School)
1111 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 491-0581
MR. FERRIS KEVIN BRUTON MS, PPS
Psychologist (School)
1111 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Marin County (415) 472-4110

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 Kathleen Mira's NPI number?

The NPI number for Kathleen Mira is 1104757012. It was assigned to this individual provider in the NPPES registry on May 28, 2026.

Where is Kathleen Mira located?

Kathleen Mira practices at 1111 Las Gallinas Ave, San Rafael, CA 94903. The listed phone number is (415) 491-6616.

What is Kathleen Mira's specialty?

The primary specialty registered for this NPI is Health and Wellness Coach with taxonomy code 171400000X.

When was this NPI record last updated?

The NPPES record for Kathleen Mira was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.