Talley Indira Mortara, LMFTA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12492A Issued in NC

Practice address

3743 Latrobe Dr Apt 225
Charlotte, NC 28211-1164

Phone

(704) 826-2709

NPI assigned

Jan 23, 2023

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1548975634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 KENILWORTH AVE APT 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042947",
            "telephone_number": "859-455-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 LATROBE DR APT 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111164",
            "telephone_number": "704-826-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTARA",
        "first_name": "TALLEY",
        "middle_name": "INDIRA",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12492A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Morrow
• Rashada Morrow
• Shawn M. Morrow, MD
• Susan Cowhig Morrow, MSW, LCSW
• Trent Morrow, LCSW
• Jeannine S Mortenson, SLP
• Gabrielle Mortis, PA-C
• Abby Morton, DPT
• Aleah Morton, MSW, LCSWA
• Alexia Morton

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.