Active NPI
Amir Momenzadeh
- Mental Health Counselor
- Novato, CA
National Provider Identifier
1689467912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MPSS-MRNIFC
- Practice address
- 99 San Benito Way
Novato, CA 94945-1604 - Phone
- (415) 328-2973
- NPI assigned
- May 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MPSS-MRNIFC | CA | Primary |
Addresses
Primary practice location
99 San Benito Way
Novato, CA 94945-1604
Mailing address
99 San Benito Way
Novato, CA 94945-1604
Phone (415) 328-2973
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
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-MRNIFC | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1689467912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 SAN BENITO WAY",
"city": "NOVATO",
"state": "CA",
"postal_code": "949451604",
"telephone_number": "415-328-2973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 SAN BENITO WAY",
"city": "NOVATO",
"state": "CA",
"postal_code": "949451604",
"telephone_number": "415-328-2973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMENZADEH",
"first_name": "AMIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MPSS-MRNIFC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.