Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Mourtada

Individual provider Mental Health Counselor · NPI 1184238198

Jacob Mourtada is a Mental Health Counselor in Marlborough, Massachusetts. Qualified in 2021, 5 years ago. Practices with Northeast Health Services LLC, a 469-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020
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Practice location Address checks out

340 Maple St
Marlborough, MA 01752-3200
Phone: (508) 485-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1184238198
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 8, 2020
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020
Mailing address5 Laurel Tree Dr, Foxboro, MA 02035-1747

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northeast Health Services Llc — 469 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Marlborough