Individual provider Active NPI

Dina Mooney, LMFT

  • Marriage & Family Therapist
  • Victorville, CA
National Provider Identifier
1124576046
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121259 Issued in CA
Practice address
12830 Hesperia Rd Ste a-D
Victorville, CA 92395-7788
Phone
(760) 684-8999
Fax
(760) 684-8111
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 121259 CA Primary

Addresses

Primary practice location

12830 Hesperia Rd Ste a-D
Victorville, CA 92395-7788

Mailing address

12830 Hesperia Rd Ste a-D
Victorville, CA 92395-7788
Phone (760) 684-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812001857 CA Practitioner - Marriage and Family Therapist 4082152889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12830 Hesperia Rd
Suite a D
Victorville, CA 92395-7788
Phone (760) 684-8999

36101 Bob Hope Dr
Suite a
Rancho Mirage, CA 92270-2001
Phone (760) 321-1315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moeller-Bertram Medical Corporation CurrentSince May 1, 2025 Accepting new patients
Tobias Moeller-Bertram MD Corporation PastSince Jun 23, 2025 Accepting new patients

Locations

44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290

36101 Bob Hope Dr
Ste A1
Rancho Mirage, CA 92270
Phone (760) 321-1315

12830 Hesperia Rd
Ste Ad
Victorville, CA 92395
Phone (760) 684-8999

12640 Hesperia Rd
Ste D
Victorville, CA 92395
Phone (760) 684-4143

Organizations & group practices 3

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": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1124576046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12830 HESPERIA RD STE A-D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957788",
            "telephone_number": "760-684-8999",
            "fax_number": "760-684-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12830 HESPERIA RD STE A-D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957788",
            "telephone_number": "760-684-8999",
            "fax_number": "760-684-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "DINA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.