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THEODORE ALFRED MORENO CCHT
NPI 1205649456
Counselor - Mental Health in South Pasadena, CA

Active since January 30, 2025
1910 HUNTINGTON DR UNIT 9, SOUTH PASADENA, CA 91030(626) 826-0612 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore Alfred Moreno Ccht NPPES

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

THEODORE ALFRED MORENO CCHT (NPI 1205649456) is an individual mental health provider in South Pasadena, California and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1205649456
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHEODORE ALFRED MORENOCredential: CCHT
Location Address1910 HUNTINGTON DR UNIT 9South Pasadena, CA 91030-4887
Mailing Address127 E 3rd StSan Dimas, CA 91773-2634 · (626) 826-0612
Phone(626) 826-0612
Sole ProprietorYes
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1205649456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1910 HUNTINGTON DR UNIT 9, South Pasadena, CA 91030
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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 Theodore Moreno's NPI number?

The NPI number for Theodore Moreno is 1205649456. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Where is Theodore Moreno located?

Theodore Moreno practices at 1910 Huntington Dr Unit 9, South Pasadena, CA 91030. The listed phone number is (626) 826-0612.

What is Theodore Moreno's specialty?

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

When was this NPI record last updated?

The NPPES record for Theodore Moreno was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.