IndividualActive
Miryam Duque
NPI 1164073672 · Mental Health Counselor · Los Angeles, CA
Provider details
- NPI number
- 1164073672
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11601 S Western Ave
Los Angeles, CA 90047-5006
Phone: (323) 242-5000
Street-level locationGet directions
Mailing address
11601 S Western Ave
Los Angeles, CA 90047-5006
Additional practice locations (1)
- 17707 Studebaker Rd # 208Cerritos, CA 90703-2640Phone: (714) 654-8660
Registry dates
- Enumerated
- 2019-09-25
- Last updated
- 2023-08-02
- Certified
- 2023-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.