MRS. JAHLEH MOHAMMADI ST GEORGE LMHC, RPT, CCPT
NPI 1093106528
Counselor - Mental Health in Tully, NY
About Mrs. Jahleh Mohammadi St George Lmhc, Rpt, Ccpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JAHLEH MOHAMMADI ST GEORGE LMHC, RPT, CCPT (NPI 1093106528) is an individual mental health provider in Tully, New York and active in the NPI registry since February 2015. She has opted out of Medicare through July 26, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Jahleh Mohammadi St George Lmhc, Rpt, Ccpt 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 July 26, 2024 through July 26, 2028.
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 Jahleh St George's NPI number?
The NPI number for Jahleh St George is 1093106528. It was assigned to this individual provider in the NPPES registry on February 5, 2015. The provider is also known as Jahleh Mohammadi.
Where is Jahleh St George located?
Jahleh St George practices at 1237 Dutch Hill Rd, Tully, NY 13159. The listed phone number is (315) 289-2504.
What is Jahleh St George's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jahleh St George enrolled in Medicare?
No. Jahleh St George has opted out of Medicare through July 26, 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 Jahleh St George was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Jahleh Mohammadi St George, LMHC, RPT, CCPT · NPI 1093106528
Mental Health provider in Tully, New York. Individual provider, active in the CMS NPPES registry since February 5, 2015.
## Identity
- **NPI:** 1093106528 (Entity type: Individual)
- **Enumerated:** February 5, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1237 DUTCH HILL RD, Tully, NY 13159-3057
- **Phone:** (315) 289-2504
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 26, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093106528) · Data from the CMS NPPES public registry.