Individual provider Active NPI

Leza Kazemi-Mohammadi, MS

  • Mental Health Counselor
  • McKinney, TX
National Provider Identifier
1205260213
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
71146 Issued in TX
Practice address
4817 Medical Center Dr
McKinney, TX 75069-1886
Phone
(972) 607-9650
NPI assigned
Aug 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 71146 TX Primary

Addresses

Primary practice location

4817 Medical Center Dr
McKinney, TX 75069-1886

Mailing address

4817 Medical Center Dr
McKinney, TX 75069-1886
Phone (972) 607-9650

Other names 1

  • Reza Mohammadi Other name

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
71146TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kazmo Brain Center LLC Past Accepting new patients

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": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1205260213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 MEDICAL CENTER DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691886",
            "telephone_number": "972-607-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 MEDICAL CENTER DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691886",
            "telephone_number": "972-607-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZEMI-MOHAMMADI",
        "first_name": "LEZA",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REZA",
            "last_name": "MOHAMMADI",
            "credential": "MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.