MIRIAM A COLLADA LPCC, LMFT
NPI 1538710322
Counselor - Professional in San Diego, CA

Active since September 24, 2019Opted out of Medicare · through Dec 2, 2026
2525 CAMINO DEL RIO S STE 205, SAN DIEGO, CA 92108(619) 764-3764 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2022, Nov 6, 2021, Sep 24, 2019 (3 updates tracked since 2019).

About Miriam A Collada Lpcc, Lmft NPPES

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

MIRIAM A COLLADA LPCC, LMFT (NPI 1538710322) is an individual professional provider in San Diego, California, licensed in California (10633) and active in the NPI registry since September 2019. She has opted out of Medicare through December 2, 2026 and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1538710322
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMIRIAM A COLLADACredential: LPCC, LMFT
Location Address2525 CAMINO DEL RIO S STE 205San Diego, CA 92108-3719
Mailing Address8885 Rio San Diego Dr Ste 365San Diego, CA 92108-1627 · (619) 764-3764
Sole ProprietorNo
Enumeration DateSeptember 24, 2019
Last NPPES UpdateApril 23, 20253 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
NPI 1538710322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in CA · 10633 Licensed in OR · C9769
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 130358 (CA)
2525 CAMINO DEL RIO S STE 205, San Diego, CA 92108

Secondary Practice Location 1

Location 13702 4th AveSan Diego, CA 92103-4203 · Phone (359) 261-9346

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Miriam A Collada Lpcc, 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 December 2, 2024 through December 2, 2026.

Opt-Out Effective DateDecember 2, 2024
Opt-Out In Effect ThroughDecember 2, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
2525 CAMINO DEL RIO S STE 205
SAN DIEGO, CA 92108

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 Miriam Collada's NPI number?

The NPI number for Miriam Collada is 1538710322. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Miriam Collada located?

Miriam Collada practices at 2525 Camino Del Rio S Ste 205, San Diego, CA 92108. The listed phone number is (619) 764-3764.

What is Miriam Collada's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Miriam Collada enrolled in Medicare?

No. Miriam Collada has opted out of Medicare through December 2, 2026. 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 Miriam Collada was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.