Payal R Mehta, MED, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1844 Issued in CA

Practice address

2821 Crow Canyon Rd
Suite 101
San Ramon, CA 94583-1659

Phone

(925) 272-8199

NPI assigned

Feb 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Payal Shah Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1336507672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 CROW CANYON RD",
            "address_2": "STE 101",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 CROW CANYON RD",
            "address_2": "SUITE 101",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831659",
            "telephone_number": "925-272-8199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10775 Pioneer Trl Ste 215",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961610234",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "PAYAL",
        "middle_name": "R",
        "credential": "MED, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "1844",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "1844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAYAL",
            "last_name": "SHAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jose Luis Medina, CMT, CLT
• Medlounge San Ramon Medical Corporation
• Juana Jacqueline Medrano Corona
• Medservco, Inc.
• Jasmine Mehta, P.T
• Anais Mejia
• Rosemarie Melena
• Rosemary Melena
• Christine Ann Melendres, LCSW
• Laura Melgosa, M.S. & LMFT

• Professional Counselor in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.