Individual provider Active NPI

Mark Mouro, LMFT

  • Marriage & Family Therapist
  • Belmont, CA
National Provider Identifier
1114454121
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1045D Alameda de Las Pulgas
Belmont, CA 94002-3507
Phone
(424) 291-2898
NPI assigned
May 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1045D Alameda de Las Pulgas
Belmont, CA 94002-3507

Mailing address

1045D Alameda de Las Pulgas
Belmont, CA 94002-3507

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.markmouro.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110877CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1114454121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045D ALAMEDA DE LAS PULGAS",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045D ALAMEDA DE LAS PULGAS",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023507",
            "telephone_number": "424-291-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURO",
        "first_name": "MARK",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.markmouro.com",
            "affiliation": "N",
            "address_1": "1045D Alameda De Las Pulgas",
            "city": "Belmont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940023507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

Verify at the official NPI Registry.