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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIRNA BANUELOS LMFT
NPI 1922372044
Marriage & Family Therapist in Los Angeles, CA

Active since March 07, 2012PECOS EnrolledAccepts Medicare Assignment
221 N ARDMORE AVE, LOS ANGELES, CA 90004(213) 381-3626 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2026, Jan 3, 2024, Sep 9, 2022 (3 updates tracked since 2022).

About Mirna Banuelos Lmft NPPES

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

MIRNA BANUELOS LMFT (NPI 1922372044) is an individual marriage & family therapist in Los Angeles, California, licensed in California (LMFT141796) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1922372044
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMIRNA BANUELOSCredential: LMFT
Location Address221 N ARDMORE AVELos Angeles, CA 90004-4503
Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820 · (310) 390-6612 · Fax (310) 398-5690
Phone(213) 381-3626
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 7, 2012
Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1922372044 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 · LMFT141796
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.
221 N ARDMORE AVE, Los Angeles, CA 90004
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mirna Banuelos Lmft 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.

PECOS PAC ID6901302827
PECOS Enrollment IDI20250930003732
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

ANGELICA REFUGIO CHAVEZ
Social Worker
221 N ARDMORE AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 381-3626
DR. PATRICIA SCHERER PHD
Psychologist
221 N ARDMORE AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 381-3626
DIDI HIRSCH PSYCHIATRIC SERVICE
Community/Behavioral Health
221 N ARDMORE AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 381-3626
RYAN MORRIS
Student in an Organized Health Care Education/Training Program
221 N ARDMORE AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 365-2900
LIZETTE DAJANA DENIZ
Social Worker
221 N ARDMORE AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 381-3626
JOHANNE ALEXANDRA PRECIADO
Marriage & Family Therapist
221 N ARDMORE AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 381-3626
SAUL JIMENEZ
Marriage & Family Therapist
221 N ARDMORE AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 381-3626
MISS MICHELLE LOPEZ LCSW
Social Worker
221 N ARDMORE AVE
LOS ANGELES, CA 90004
Los Angeles County (213) 381-3626

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 Mirna Banuelos's NPI number?

The NPI number for Mirna Banuelos is 1922372044. It was assigned to this individual provider in the NPPES registry on March 7, 2012.

Where is Mirna Banuelos located?

Mirna Banuelos practices at 221 N Ardmore Ave, Los Angeles, CA 90004. The listed phone number is (213) 381-3626.

What is Mirna Banuelos's specialty?

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

Is Mirna Banuelos enrolled in Medicare?

Yes. Mirna Banuelos 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.

When was this NPI record last updated?

The NPPES record for Mirna Banuelos was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.