MIRACLE JANUARY
NPI 1316470263
Marriage & Family Therapist in Ontario, CA

Q: What is Miracle January's NPI number?

The NPI number for Miracle January is 1316470263. It was assigned to this individual provider in the NPPES registry on April 7, 2017. The provider is also known as Miracle Mclean.

Q: What is Miracle January's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Miracle January was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 07, 2017PECOS Enrolled

3281 E GUASTI RD STE 440, ONTARIO, CA 91761(909) 323-7100 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2024, Dec 28, 2018 (2 updates tracked since 2018).

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About Miracle January NPPES

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

MIRACLE JANUARY (NPI 1316470263) is an individual marriage & family therapist in Ontario, California, licensed in California (91868) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316470263

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMIRACLE JANUARY

Location Address3281 E GUASTI RD STE 440Ontario, CA 91761-7635

Mailing Address16461 Cedar View LnFontana, CA 92336-4740 · (323) 408-1813

Phone(909) 323-7100

Sole ProprietorNo

Enumeration DateApril 7, 2017

Last NPPES UpdateMay 9, 20242 updates tracked since enumeration

NPPES CertifiedMay 9, 2024

✔ NPI 1316470263 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 · 91868

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.

3281 E GUASTI RD STE 440, Ontario, CA 91761

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Other Names 1

Former Name (1)Miracle Mclean

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miracle January 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.

Other Providers at the Same Location NPPES 6

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

MRS. JENNIFER ANDREA GIVENS

Social Worker (Clinical)