Mona Mentors Community Agency

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MONA MENTORS COMMUNITY AGENCY

Practice address

507 N Sam Houston Pkwy E
Suite 125
Houston, TX 77060-4021

Phone

(713) 266-2090

Fax

(800) 434-4305

NPI assigned

Feb 6, 2014

Organization subpart

No

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

Authorized official

Name

Mona Swafford Ellis, MS, CHW

Title

President

Phone

(713) 266-2090

Specialties & licenses 8

Addresses

Other names 1

• Mona Mentors Community Agency Doing business as

Tax ID family

Mona Mentors Community Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mona Mentors Community Agency

  • Taxi
  • Houston, TX
  • NPI 1275853491
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward A Green, LCSW

  • Clinical Social Worker
  • Houston, TX
  • NPI 1639171515
  NPD (past)

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1134543507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 MACCLESBY LN",
            "city": "CHANNELVIEW",
            "state": "TX",
            "postal_code": "775304822",
            "telephone_number": "713-266-2090",
            "fax_number": "800-434-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604021",
            "telephone_number": "713-266-2090",
            "fax_number": "800-434-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA MENTORS COMMUNITY AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "SWAFFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-266-2090",
        "authorized_official_credential": "MS, CHW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mona Mentors Community Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zaibunnisa Farid Momin, APRN, NP-C
• Zavher Momin, MD
• Shazia Mominkhawaja, FNP
• Jeannie Nkongho Momoh
• Moms United ABA LLC
• Mona Mentors Community Agency
• Mona Mentors Community Agency, Inc.
• Mona Mentors PLLC
• Mona Odusola
• Natilia Monachino, FNP

• Community/Behavioral Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.