Kamryan Mong, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2308010 Issued in AR

Practice address

208 McAuley CT Ste B
Hot Springs, AR 71913-6344

Phone

(888) 710-8220

Fax

(866) 573-0761

NPI assigned

Mar 21, 2022

Last updated

Jan 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1033868807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719531841",
            "telephone_number": "888-710-8220",
            "fax_number": "866-573-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MCAULEY CT STE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136344",
            "telephone_number": "888-710-8220",
            "fax_number": "866-573-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONG",
        "first_name": "KAMRYAN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2308010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280214795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmy Mitchell, MHPP
• Michelle Denise Mitchell, MD
• Susanne Mitchell, MHPP
• Don Moench, RT
• Abigail Moll
• John Monroe
• Eric D Monte, MD
• Kelsey Montgomery, APRN
• Carole E Moore, APN
• David Michael Moore, PA-C

• Mental Health Counselor in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.