EPIPHANY COUNSELING, CONSULTING & TREATMENT SERVICES, PC
NPI 1376922328
Social Worker - Clinical in San Pedro, CA

Q: What is Epiphany Counseling, Consulting & Treatment Services, PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 22, 2015

302 W 5TH ST STE 308, SAN PEDRO, CA 90731(424) 376-8705(424) 363-1721 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Epiphany Counseling, Consulting & Treatment Services, Pc NPPES

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

EPIPHANY COUNSELING, CONSULTING & TREATMENT SERVICES, PC (NPI 1376922328) is a healthcare organization registered as a clinical in San Pedro, California and active in the NPI registry since May 2015. The organization lists Miyume Mckinley, Owner, as its authorized official.

NPPES Registry Identity

NPI1376922328

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameEPIPHANY COUNSELING, CONSULTING & TREATMENT SERVICES, PC

Location Address302 W 5TH ST STE 308San Pedro, CA 90731-2750

Mailing Address302 W 5th St Ste 308San Pedro, CA 90731-2750 · (424) 570-6955 · Fax (424) 363-1721

Phone(424) 376-8705

Fax(424) 363-1721

Organization SubpartNo

Authorized OfficialMiyume MckinleyOwner · (424) 570-6955

Enumeration DateMay 22, 2015

Last NPPES UpdateOctober 4, 2016

✔ NPI 1376922328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · LCSW64555

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

302 W 5TH ST STE 308, San Pedro, CA 90731

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Epiphany Counseling, Consulting & Treatment Services, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Epiphany Counseling, Consulting & Treatment Services, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Chanelle Haywood, LMFT

Marriage and Family Therapist

NPI 1649013848

302 W 5TH ST STE 308
San Pedro, CA 90731

(424) 570-6955

✔ PECOSSame address

Miyume Mckinley, LCSW

Clinical Social Worker

NPI 1285812875

302 W 5TH ST SUITE 308
San Pedro, CA 90731

(424) 570-6955

✔ PECOS✔ Accepts MedicareSame address

Lynneae Wright

Clinical Social Worker

NPI 1245517689

302 W 5TH ST STE 308
San Pedro, CA 90731

(424) 570-6955

✔ PECOS✔ Accepts MedicareSame address

Aurora Sanchez

Clinical Social Worker

NPI 1225551971

4500 E PACIFIC COAST HWY STE 100
Long Beach, CA 90804

(562) 344-1140

✔ PECOS✔ Accepts Medicare8.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Epiphany Counseling, Consulting & Treatment Services, PC's NPI number?

The NPI number for Epiphany Counseling, Consulting & Treatment Services, PC is 1376922328. It was assigned to this organization in the NPPES registry on May 22, 2015.

Where is Epiphany Counseling, Consulting & Treatment Services, PC located?

Epiphany Counseling, Consulting & Treatment Services, PC is located at 302 W 5th St Ste 308, San Pedro, CA 90731. The listed phone number is (424) 376-8705.

What is Epiphany Counseling, Consulting & Treatment Services, PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Epiphany Counseling, Consulting & Treatment Services, PC enrolled in Medicare?

Yes. Epiphany Counseling, Consulting & Treatment Services, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Epiphany Counseling, Consulting & Treatment Services, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Epiphany Counseling, Consulting & Treatment Services, PC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (3) and Marriage and Family Therapist (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Epiphany Counseling, Consulting & Treatment Services, PC was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.