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

Mr. Takavar Ghane, LCMHC

Individual provider Mental Health Counselor · NPI 1053864066

Mr. Takavar Ghane, LCMHC is a Mental Health Counselor in St George, Utah. Qualified in 2007, 19 years ago. Practices with Alberto Souza PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
19
Licensed in
UT
In the registry since
2016
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Practice location Address checks out

1664 S Dixie Dr Ste E102
St George, UT 84770-7329
Phone: (435) 703-9647
Fax: (435) 703-6003
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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 · Licence 6782719-6004 (UT)

Record details

NPI number1053864066
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHC
Sole proprietorYes
NPI enumeratedJuly 26, 2016
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Alberto Souza Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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