Nezhla Bozorgmand Momayezi

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC12438 Issued in MD

Practice address

15107 Interlachen Dr # 2-703
Silver Spring, MD 20906-5625

Phone

(301) 455-8935

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Gift of Life

  • Professional Counselor
  • Silver Spring, MD
  • NPI 1164350617
  NPD Authorized official
• Innovative Therapeutic Services, LLC

  • Mental Health Counselor
  • Laurel, MD
  • NPI 1003147505
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1710611389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15107 INTERLACHEN DR # 2-703",
            "address_2": "# 2-703",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065632",
            "telephone_number": "410-978-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15107 INTERLACHEN DR # 2-703",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065625",
            "telephone_number": "301-455-8935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15107 Interlachen Dr # 2-703",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209065625",
            "country_code": "US",
            "telephone_number": "301-455-8935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMAYEZI",
        "first_name": "NEZHLA",
        "middle_name": "BOZORGMAND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "UNKNOWN",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "UNKNOWN",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "unknown",
            "address_1": "15107 Interlachen Dr # 2-703",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209065625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tigist Sintayhu Mola
• Ejigayehu Molloro
• Nikolay Dimitrov Mollov, D.D.S.
• Art Molnar
• Bukola Molokwu
• Juliane Virginia Momdjol, RD/LDN
• Suleiman Momoh
• Monarch Behavioral Therapy Bii, LLC (Behavioral Innovations)
• Joel T Moncur, M.D.,PH.D.
• Danielle Renee Mondesir

• Professional Counselor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.