1. Home
  2. Directory
  3. California
  4. Simi Valley
  5. Marriage Family Therapist
  6. NPI Profile

EDGAR ALFONSO CRUZ MIRANDA LMFT
NPI 1497486807
Marriage & Family Therapist in Simi Valley, CA

Active since June 17, 2022Opted out of Medicare · through Jan 10, 2028
2489 TAPO ST STE B, SIMI VALLEY, CA 93063(805) 774-1506 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgar Alfonso Cruz Miranda Lmft NPPES

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

EDGAR ALFONSO CRUZ MIRANDA LMFT (NPI 1497486807) is an individual marriage & family therapist in Simi Valley, California, licensed in California (131726) and active in the NPI registry since June 2022. He has opted out of Medicare through January 10, 2028.

NPPES Registry Identity

NPI1497486807
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameEDGAR ALFONSO CRUZ MIRANDACredential: LMFT
Location Address2489 TAPO ST STE BSimi Valley, CA 93063-2453
Mailing Address2489 Tapo St Ste BSimi Valley, CA 93063-2453 · (805) 774-1506
Phone(805) 774-1506
Sole ProprietorNo
Enumeration DateJune 17, 2022
NPPES CertifiedJune 17, 2022
✔ NPI 1497486807 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 · 131726
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.
2489 TAPO ST STE B, Simi Valley, CA 93063
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Edgar Alfonso Cruz Miranda Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2024 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2024
Opt-Out In Effect ThroughJanuary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

NEW LEAF MARRIAGE & FAMILY THERAPY, INC.
Marriage & Family Therapist
2489 TAPO ST STE B
SIMI VALLEY, CA 93063
Ventura County (805) 774-1506
MRS. CINTHIA ELENA FERREIRA-MILLER LMFT
Marriage & Family Therapist
2489 TAPO ST STE B
SIMI VALLEY, CA 93063
Ventura County (805) 774-1506
NATALIE ANNE BOLOGNA LMFT
Marriage & Family Therapist
2489 TAPO ST STE B
SIMI VALLEY, CA 93063
Ventura County (805) 774-1506

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 Edgar Cruz Miranda's NPI number?

The NPI number for Edgar Cruz Miranda is 1497486807. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Edgar Cruz Miranda located?

Edgar Cruz Miranda practices at 2489 Tapo St Ste B, Simi Valley, CA 93063. The listed phone number is (805) 774-1506.

What is Edgar Cruz Miranda's specialty?

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

Is Edgar Cruz Miranda enrolled in Medicare?

No. Edgar Cruz Miranda has opted out of Medicare through January 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Edgar Cruz Miranda was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.