Active NPI
Monique A Mort, LPC
- Professional Counselor
- Mesa, AZ
National Provider Identifier
1033484381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13860
- Practice address
- 6344 E Broadway Rd Ste 107
Mesa, AZ 85206-1634 - Phone
- (602) 888-0910
- NPI assigned
- Mar 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13860 | AZ | Primary |
Addresses
Primary practice location
6344 E Broadway Rd Ste 107
Mesa, AZ 85206-1634
Mailing address
6344 E Broadway Rd Ste 107
Mesa, AZ 85206-1634
Phone (602) 888-0910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250320003183 | AZ | Practitioner - Mental Health Counselor | 5991243693 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13860 | AZ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mort Mori | Professional | Current | Accepting new patients |
Locations
6344 E Broadway Rd
Ste 107
Mesa, AZ 85206
Phone (480) 788-2220
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1033484381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6344 E BROADWAY RD STE 107",
"city": "MESA",
"state": "AZ",
"postal_code": "852061634",
"telephone_number": "602-888-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6344 E BROADWAY RD STE 107",
"city": "MESA",
"state": "AZ",
"postal_code": "852061634",
"telephone_number": "602-888-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORT",
"first_name": "MONIQUE",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-20",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "13860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.