MS. RADHA C MOLDOVER LCSW
NPI 1174699490
Counselor - Mental Health in Bountiful, UT

Q: What is Radha Moldover's NPI number?

The NPI number for Radha Moldover is 1174699490. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Radha Moldover's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Radha Moldover enrolled in Medicare?

No. Radha Moldover has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Radha Moldover was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 28, 2006Opted out of Medicare · through Jan 1, 2027

390 N MAIN ST, BOUNTIFUL, UT 84010(801) 294-1000(801) 292-8369 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Radha C Moldover Lcsw NPPES

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

MS. RADHA C MOLDOVER LCSW (NPI 1174699490) is an individual mental health provider in Bountiful, Utah, licensed in Utah (58128873501) and active in the NPI registry since November 2006. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1174699490

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. RADHA C MOLDOVERCredential: LCSW

Location Address390 N MAIN STBountiful, UT 84010-6046

Mailing Address390 N Main StBountiful, UT 84010-6046 · (801) 294-1000 · Fax (801) 292-8369

Phone(801) 294-1000

Fax(801) 292-8369

Sole ProprietorNo

Enumeration DateNovember 28, 2006

Last NPPES UpdateNovember 30, 2021

NPPES CertifiedNovember 30, 2021

✔ NPI 1174699490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in UT · 58128873501

390 N MAIN ST, Bountiful, UT 84010

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Radha C Moldover Lcsw 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 January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAELYN TASHA CLAWSON RN

Nurse Practitioner