Individual provider Active NPI

Kirit N Mehta, MS, LPC, LMFT

  • Marriage & Family Therapist
  • Houston, TX
National Provider Identifier
1023159845
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4295 Issued in TX
Practice address
14740 Barryknoll LN Ste 130
Houston, TX 77079-2883
Phone
(713) 984-5105
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11636 TX
Marriage & Family Therapist 106H00000X 4295 TX Primary

Addresses

Primary practice location

14740 Barryknoll LN Ste 130
Houston, TX 77079-2883

Mailing address

19927 Fort Davis CT
Katy, TX 77449-3305
Phone (281) 579-8942

Other identifiers 2

IdentifierTypeStateIssuer
027379904MedicaidTX
027379904OtherAMERIGROUP COMMUNITY CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4295TXMDMarriage & Family Therapist
11636TXMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1023159845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19927 FORT DAVIS CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493305",
            "telephone_number": "281-579-8942",
            "fax_number": "281-579-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 BARRYKNOLL LN STE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792883",
            "telephone_number": "713-984-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "KIRIT",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "MS, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11636",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "4295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027379904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP COMMUNITY CARE",
            "identifier": "027379904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.