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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jacob Mourtada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Taunton, MA 02780
- Reassigned Medicare billing, Massachusetts enrollment
- 689 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.
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.
Which organization bills Medicare for Jacob Mourtada's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Mourtada reassigns Medicare benefits to Northeast Health Services, LLC (Taunton, MA). 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 Jacob Mourtada'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 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 6 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
- **Bills Medicare through:** Northeast Health Services, LLC (NPI 1225067481, Taunton, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **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.