Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALYSSA BIANCONI MOMTAHENI LMFT 139124
NPI 1114569654
Marriage & Family Therapist in Redwood City, CA

Active since October 16, 2019PECOS Enrolled
775 CANYON RD, REDWOOD CITY, CA 94062(650) 868-9129 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2026, Apr 26, 2024, Oct 16, 2019 (3 updates tracked since 2019).

About Alyssa Bianconi Momtaheni Lmft 139124 NPPES

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

ALYSSA BIANCONI MOMTAHENI LMFT 139124 (NPI 1114569654) is an individual marriage & family therapist in Redwood City, California, licensed in California (LMFT139124) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114569654
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameALYSSA BIANCONI MOMTAHENICredential: LMFT 139124
Location Address775 CANYON RDRedwood City, CA 94062-3023
Mailing AddressPo Box 81Redwood City, CA 94064-0081 · (650) 590-9946
Sole ProprietorNo
Enumeration DateOctober 16, 2019
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1114569654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · LMFT139124
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
775 CANYON RD, Redwood City, CA 94062

Other Identifiers 1

Other942581686CA · County

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Bianconi Momtaheni Lmft 139124 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alyssa Momtaheni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Alyssa Momtaheni's NPI number?

The NPI number for Alyssa Momtaheni is 1114569654. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Where is Alyssa Momtaheni located?

Alyssa Momtaheni practices at 775 Canyon Rd, Redwood City, CA 94062. The listed phone number is (650) 868-9129.

What is Alyssa Momtaheni's specialty?

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

Is Alyssa Momtaheni enrolled in Medicare?

Yes. Alyssa Momtaheni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alyssa Momtaheni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Momtaheni reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alyssa Momtaheni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alyssa Momtaheni was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.