Individual provider · Type 1 NPI

Natasha Moctezuma

Mental Health Counselor · New York, NY

NPI number 1174977490 Active · reactivated Feb 19, 2020

Practice location

175 E 94th St Apt 1
New York, NY 10128-2905

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed

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About NPI 1174977490

Natasha Moctezuma's National Provider Identifier is 1174977490, issued on Apr 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Jan 14, 2026.