Individual provider Active NPI

Mahtab Moradi, LMFT

  • Marriage & Family Therapist
  • League City, TX
National Provider Identifier
1194066134
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
5165 Issued in TX
Practice address
2600 S Shore Blvd Ste 300
League City, TX 77573-2944
Phone
(832) 205-8658
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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 5165 TX Primary

Addresses

Primary practice location

2600 S Shore Blvd Ste 300
League City, TX 77573-2944

Mailing address

2600 S Shore Blvd Ste 300
League City, TX 77573-2944
Phone (832) 205-8658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240124004113 TX Practitioner - Marriage and Family Therapist 6608229786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physician Associates of TexasGroup PAC ID 3779809884, 4 clinicians

Practice addresses (Care Compare)

11226 S Wilcrest Dr
Houston, TX 77099-4313
Phone (281) 977-7462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physician Associates of Texas CurrentSince Jan 1, 2024 Accepting new patients

Locations

11226 S Wilcrest Dr
Houston, TX 77099
Phone (281) 977-7462

16345 S Post Oak Rd
Houston, TX 77053
Phone (281) 438-7462

5012 N Shepherd Dr
Houston, TX 77018
Phone (713) 695-7462

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": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1194066134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S SHORE BLVD STE 300",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732944",
            "telephone_number": "832-205-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S SHORE BLVD STE 300",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732944",
            "telephone_number": "832-205-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADI",
        "first_name": "MAHTAB",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "5165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.