P Praxis·MD
● Active Type 1 · Individual

DR. Mohammad Mehdi Momtahan, PH.D.

Counselor·Dallas, GA· NPI 1225271422 · Enumerated 2009 · 17 years on NPI
Momtahan is 1 of 52 counselor providers in Dallas and 1 of 7547 in Georgia.
NPI age
17 years
Enumerated 2009-04-17
Primary specialty
Counselor
Plus 8 subspecialties
Licensed in
GA, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-01-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
17 years
↑ 8 yr above median (9 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
4
In the 19% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-04Enumerated in NPPES
2009 2026

Where they practice

Practice location
59 Hillside Trace, Suite 113
Dallas, GA 301573315
📞 7704431644fax 7704431633
Mailing address
59 Hillside Trce, Suite 113
Dallas, GA 301579476
📞 7704431644fax 7704431633

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC004345 taxonomy 101YP2500X
  • Counselor
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    GA license #NCC 210724 taxonomy 101Y00000X
  • Counselor
    Definition to come...
    GA license #C0040IN license #MAC 12619GA license #ICAADC 202225GA license #CCODP-D 0004 taxonomy 101YA0400X
  • Counselor
    Definition to come...
    GA license #ACS 00557 taxonomy 101YM0800X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    IN license #CFAS 12619IN license #BDFC 12619 taxonomy 174400000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new counselor provider has been added in Dallas in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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