Individual provider Active NPI

Tasha Lane Mozaffarimehr

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1407622145
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2445 Fire Mesa St Ste 190
Las Vegas, NV 89128-9015
Phone
(702) 456-4262
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

2445 Fire Mesa St Ste 190
Las Vegas, NV 89128-9015

Mailing address

2445 Fire Mesa St Ste 190
Las Vegas, NV 89128-9015
Phone (702) 456-4262

Other names 1

  • Tasha Lane Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20260427003425 NV Practitioner - Marriage and Family Therapist 4789151754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
University of Nevada, Las Vegas School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10720 Mystic Shore Ave
Las Vegas, NV 89166-6010

2445 Fire Mesa St
Suite 190
Las Vegas, NV 89128-9015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1407622145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 FIRE MESA ST STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289015",
            "telephone_number": "702-456-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 FIRE MESA ST STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289015",
            "telephone_number": "702-456-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE MOZAFFARIMEHR",
        "first_name": "TASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHA",
            "last_name": "LANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.