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MS. MIRANDA ROSE ROTH MILLICAN MFT
NPI 1801178249
Marriage & Family Therapist in San Diego, CA

Active since September 12, 2011Opted out of Medicare · through Jan 1, 2028
6543 BELL BLUFF AVE, SAN DIEGO, CA 92119(805) 234-5177 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Miranda Rose Roth Millican Mft NPPES

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

MS. MIRANDA ROSE ROTH MILLICAN MFT (NPI 1801178249) is an individual marriage & family therapist in San Diego, California and active in the NPI registry since September 2011. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in La Mesa.

NPPES Registry Identity

NPI1801178249
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. MIRANDA ROSE ROTH MILLICANCredential: MFT
Location Address6543 BELL BLUFF AVESan Diego, CA 92119-1047
Mailing AddressPo Box 609001San Diego, CA 92160-9001 · (619) 528-4600 · Fax (619) 528-4625
Phone(805) 234-5177
Sole ProprietorYes
Enumeration DateSeptember 12, 2011
Last NPPES UpdateJune 7, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1801178249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
6543 BELL BLUFF AVE, San Diego, CA 92119
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Other Names 1

Former Name (1)Miranda Rose Roth Kelsch

Secondary Practice Location 1

Location 14700 Spring St, #220LA Mesa, CA 91942-0263 · Phone (619) 667-3380 · Fax (619) 667-0815

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Miranda Rose Roth Millican Mft 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Miranda Millican's NPI number?

The NPI number for Miranda Millican is 1801178249. It was assigned to this individual provider in the NPPES registry on September 12, 2011. The provider is also known as Miranda Rose Roth Kelsch.

Where is Miranda Millican located?

Miranda Millican practices at 6543 Bell Bluff Ave, San Diego, CA 92119. The listed phone number is (805) 234-5177.

What is Miranda Millican's specialty?

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

Is Miranda Millican enrolled in Medicare?

No. Miranda Millican has opted out of Medicare through January 1, 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 Miranda Millican was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.