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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: April 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 26, 2024, Oct 16, 2019 (2 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
Phone(650) 868-9129
Sole ProprietorNo
Enumeration DateOctober 16, 2019
Last NPPES UpdateApril 26, 20242 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
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Other Identifiers 1

Other942581686CA · County

Medicare Participation & PECOS CMS

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

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.

Frequently Asked Questions

What is Alyssa Momtaheni's NPI number?

The NPI number assigned to this healthcare provider is 1114569654, enumerated as an "individual" on October 16, 2019.

Where is the provider located?

The provider is located at 775 CANYON RD REDWOOD CITY, CA 94062 and the phone number is (650) 868-9129.

What is the provider's specialty?

Marriage & Family Therapist with taxonomy code 106H00000X.

What insurance does Alyssa Momtaheni accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.