Individual provider Active NPI

Kojo Mintah, PHD

  • Psychologist
  • Houston, TX
National Provider Identifier
1063303022
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
40203 Issued in TX
Practice address
2211 Norfolk St Ste 455
Houston, TX 77098-4119
Phone
(832) 278-1849
Fax
(713) 513-5194
NPI assigned
Jul 9, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 40203 TX
Counseling Psychologist 103TC1900X 40203 TX
Clinical Child & Adolescent Psychologist 103TC2200X 40203 TX
Intellectual & Developmental Disabilities Psychologist 103TM1800X 40203 TX
Psychologist 103T00000X 40203 TX Primary

Addresses

Primary practice location

2211 Norfolk St Ste 455
Houston, TX 77098-4119

Mailing address

2914 La Fontaine Drive
Houston, TX 77014-2492
Phone (281) 850-4453

Other names 1

  • Kojo Mintah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250801003719 TX Practitioner - Clinical Psychologist 8022526953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

2103 Research Forest Dr
Suite 175
The Woodlands, TX 77380-4162
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
40203TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC CurrentSince Jul 21, 2025 Accepting new patients

Locations

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

2103 Research Forest Dr
Bldg 1
The Woodlands, TX 77380
Phone (832) 895-0347

2103 Research Forest Dr
Ste 175
The Woodlands, TX 77380

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1063303022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 LA FONTAINE DRIVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142492",
            "telephone_number": "281-850-4453",
            "fax_number": "713-513-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 NORFOLK ST STE 455",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984119",
            "telephone_number": "832-278-1849",
            "fax_number": "713-513-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTAH",
        "first_name": "KOJO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "40203",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "40203",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "40203",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "TX",
            "license": "40203",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "40203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOJO",
            "last_name": "MINTAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.