JACOB MOURTADA
NPI 1184238198
Counselor - Mental Health in Marlborough, MA
About Jacob Mourtada NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB MOURTADA (NPI 1184238198) is an individual mental health provider in Marlborough, Massachusetts and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Mourtada is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
MARLBOROUGH, MA 01752
MARLBOROUGH, MA 01752
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 Jacob Mourtada's NPI number?
The NPI number for Jacob Mourtada is 1184238198. It was assigned to this individual provider in the NPPES registry on September 8, 2020.
Where is Jacob Mourtada located?
Jacob Mourtada practices at 340 Maple St, Marlborough, MA 01752. The listed phone number is (508) 485-9300.
What is Jacob Mourtada's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jacob Mourtada enrolled in Medicare?
Yes. Jacob Mourtada is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jacob Mourtada was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jacob Mourtada · NPI 1184238198
Mental Health provider in Marlborough, Massachusetts. Individual provider, active in the CMS NPPES registry since September 8, 2020.
## Identity
- **NPI:** 1184238198 (Entity type: Individual)
- **Enumerated:** September 8, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 340 MAPLE ST, Marlborough, MA 01752-3200
- **Phone:** (508) 485-9300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1184238198) · Data from the CMS NPPES public registry.