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

Q: 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.

Q: What is Mirna Banuelos's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mirna Banuelos was last updated on January 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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 UpdateJanuary 3, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2024

✔ 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.

DIDI HIRSCH PSYCHIATRIC SERVICE

Community/Behavioral Health