Kevin A. Moccardini, MFC 50540

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT50540 Issued in CA

Practice address

44709 N. Date Ave.
Lancaster, CA 93534

Phone

(661) 802-9401

Fax

(661) 942-5195

NPI assigned

Jan 30, 2012

Last updated

Jan 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Journey Counseling Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lancaster, CA
  • NPI 1619548542
  NPD Authorized official

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1588936009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44709 N. DATE AVE.",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-802-9401",
            "fax_number": "661-942-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44709 N. DATE AVE.",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-802-9401",
            "fax_number": "661-942-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCCARDINI",
        "first_name": "KEVIN",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MFC 50540",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT50540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazzmine Mitchell
• Kristin Mitchell
• Christopher A Mixco
• Mmi Medical Group, Inc
• Moazzem H. Chowdhury (Desert Drugs)
• Arlene Catherine Moeller
• Mohamed Z. Lameer, M.D.
• Osama Mohamed, M.D.
• Shish Ali Mohammad, MD
• Dustin Rakim Mohammed

• Marriage & Family Therapist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.