MR. THOMAS JAMES MONDRAGON MFT
NPI 1073154415
Marriage & Family Therapist in West Hollywood, CA

Active since October 07, 2019Opted out of Medicare · through Mar 15, 2028
8235 SANTA MONICA BLVD STE 309, WEST HOLLYWOOD, CA 90046(310) 779-3113 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Thomas James Mondragon Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THOMAS JAMES MONDRAGON MFT (NPI 1073154415) is an individual marriage & family therapist in West Hollywood, California, licensed in California (42214) and active in the NPI registry since October 2019. He has opted out of Medicare through March 15, 2028.

NPPES Registry Identity

NPI1073154415
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. THOMAS JAMES MONDRAGONCredential: MFT
Location Address8235 SANTA MONICA BLVD STE 309West Hollywood, CA 90046-5969
Mailing Address8235 Santa Monica Blvd Ste 309West Hollywood, CA 90046-5969 · (310) 779-3113
Sole ProprietorYes
Enumeration DateOctober 7, 2019
NPI 1073154415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 42214
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

8235 SANTA MONICA BLVD STE 309, West Hollywood, CA 90046

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Thomas James Mondragon Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2024 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2024
Opt-Out In Effect ThroughMarch 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Mondragon's NPI number?

The NPI number for Thomas Mondragon is 1073154415. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Thomas Mondragon located?

Thomas Mondragon practices at 8235 Santa Monica Blvd Ste 309, West Hollywood, CA 90046. The listed phone number is (310) 779-3113.

What is Thomas Mondragon's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Thomas Mondragon enrolled in Medicare?

No. Thomas Mondragon has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Thomas Mondragon was last updated on October 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.