Individual provider Active NPI

Michael Angelo Mendoza, LMFT

  • Marriage & Family Therapist
  • Hiawatha, IA
National Provider Identifier
1447128756
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
133787 Issued in IA
Practice address
1214 Dina CT Ste a
Hiawatha, IA 52233-4706
Phone
(319) 208-2150
Fax
(319) 774-0348
NPI assigned
Oct 28, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 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 133787 IA Primary

Addresses

Primary practice location

1214 Dina CT Ste a
Hiawatha, IA 52233-4706

Mailing address

809 Southlawn Dr
Iowa City, IA 52245-5434
Phone (319) 209-6617

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

State licenses

LicenseStateTypeSpecialty
133787IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prism Therapy Group LLC Marriage & Family Therapist CurrentSince Nov 8, 2025 Accepting new patients
Prism Psychiatric Group LLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

1214 Dina Ct
Ste A
Hiawatha, IA 52233
Phone (319) 208-2150

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1447128756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SOUTHLAWN DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522455434",
            "telephone_number": "319-209-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 DINA CT STE A",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522334706",
            "telephone_number": "319-208-2150",
            "fax_number": "319-774-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MICHAEL",
        "middle_name": "ANGELO",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "133787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.