Jennifer Lynn Mira
Counselor, Mental Health in Santa Maria, CA. Individual provider (NPI-1).
NPI number1124154786
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124154786
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Lynn Mira
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
625 S McClellandSanta Maria, CA 93454
Phone 805-614-9535 · Fax 805-614-9390
Mailing address
118 W Arrellaga StreetSanta Barbara, CA 93101
Phone 805-962-2963 · Fax 805-962-2965
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 161 Mental Health Counselor providers in Santa Maria · All 3,777 providers in Santa Maria
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