MR. DAVID L MORTELLARO LPC, LMFT - NPI 1851375836

Q: What is David Mortellaro's NPI number?

The NPI number for David Mortellaro is 1851375836. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Q: What is David Mortellaro's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Mortellaro was last updated on October 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. David L Mortellaro Lpc, Lmft NPPES

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

MR. DAVID L MORTELLARO LPC, LMFT (NPI 1851375836) is an individual mental health provider in Roanoke, Virginia, licensed in Virginia (0701001496) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1851375836

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. DAVID L MORTELLAROCredential: LPC, LMFT

Location Address4656 BRAMBLETON AVERoanoke, VA 24018-3437

Mailing Address6980 Highfields Farm CirRoanoke, VA 24018-5631 · (540) 774-4114 · Fax (540) 772-8242

Phone(540) 772-8043

Fax(540) 772-8242

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateDecember 2, 2005

Last NPPES UpdateOctober 2, 2008

✔ NPI 1851375836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in VA · 0701001496

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 0717000603 (VA)

4656 BRAMBLETON AVE, Roanoke, VA 24018

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Other Identifiers 11

Other018061VA · Value Options

Other005400431VA · Virginia Premier (hmo)

Other349980VA · Mamsi

Other69554VA · Cigna Behavioral Health

Other285978VA · Anthem Bcbs

Other5675123VA · Aetna

Other297608000VA · Magellan

Other087620VA · Southern Health/sentara

Other132303VA · Managed Health Network

OtherJOHN DEEREVA · Va0101

Medicaid005400431VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Mr. David L Mortellaro Lpc, Lmft 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.

PECOS PAC ID1355492497

PECOS Enrollment IDI20240506004898

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.

Other Providers at the Same Location NPPES 9

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

ROBERT PAUL JESSUP L.P.C.

Counselor (Professional)