MS. SANDRA MIRELES LPC, MS
NPI 1366057705
Counselor - Mental Health in San Antonio, TX
About Ms. Sandra Mireles Lpc, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SANDRA MIRELES LPC, MS (NPI 1366057705) is an individual mental health provider in San Antonio, Texas, licensed in (DEBSINGH73) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Sandra Mireles Lpc, Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Sandra Mireles reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78249
- Reassigned Medicare billing, Texas enrollment
San Antonio, TX 78209
- Reassigned Medicare billing, Texas enrollment
- 18 clinicians in this Medicare group
Miami, FL 33136
- Reassigned Medicare billing, Texas enrollment
- 128 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78258
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 Sandra Mireles's NPI number?
The NPI number for Sandra Mireles is 1366057705. It was assigned to this individual provider in the NPPES registry on September 12, 2020.
Where is Sandra Mireles located?
Sandra Mireles practices at 19141 Stone Oak Pkwy Ste 104, San Antonio, TX 78258. The listed phone number is (830) 282-7747.
What is Sandra Mireles's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Sandra Mireles enrolled in Medicare?
Yes. Sandra Mireles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sandra Mireles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Mireles reassigns Medicare benefits to 3 organizations: Pure Guidance Counseling Services PLLC (San Antonio, TX), Alamo Heights Counseling Inc. (San Antonio, TX) and Brave Health Medical Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Mireles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandra Mireles accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Sandra Mireles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sandra Mireles was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Sandra Mireles, LPC, MS · NPI 1366057705
Mental Health provider in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since September 12, 2020.
## Identity
- **NPI:** 1366057705 (Entity type: Individual)
- **Enumerated:** September 12, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** DEBSINGH73
- **Sole proprietor:** Yes
## Practice location
- **Address:** 19141 STONE OAK PKWY STE 104, San Antonio, TX 78258-3367
- **Phone:** (830) 282-7747
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pure Guidance Counseling Services PLLC (NPI 1467218537, San Antonio, TX); Alamo Heights Counseling Inc. (NPI 1528301579, San Antonio, TX); Brave Health Medical Group PA (NPI 1225669161, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366057705) · Data from the CMS NPPES public registry.