Mona Mentors Community Agency, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MONA MENTORS COMMUNITY AGENCY, INC.

Practice address

6420 Richmond Ave
Suite 602
Houston, TX 77057-5929

Phone

(713) 266-2080

Fax

(800) 434-4305

NPI assigned

Nov 22, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Mona Ellis, P/CHW

Title

President

Phone

(713) 266-2090

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1144597956",
    "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": "713-266-2080",
            "fax_number": "800-434-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 RICHMOND AVE",
            "address_2": "SUITE 602",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575929",
            "telephone_number": "713-266-2080",
            "fax_number": "800-434-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA MENTORS COMMUNITY AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-266-2090",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P/CHW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THHS",
            "identifier": "12165",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shazia Mominkhawaja, FNP
• Jeannie Nkongho Momoh
• Moms United ABA LLC
• Mona Mentors Community Agency
• Mona Mentors Community Agency
• Mona Mentors PLLC
• Mona Odusola
• Natilia Monachino, FNP
• Ashley Monaco, DO
• Thomas Joseph Monaco, MD

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.