Individual provider Active NPI

Elizabeth Kona Momoh

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1417754672
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015764 Issued in NY
Practice address
159 Bleecker St FL 2
New York, NY 10012-1457
Phone
(917) 382-8075
NPI assigned
Feb 26, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 015764 NY Primary

Addresses

Primary practice location

159 Bleecker St FL 2
New York, NY 10012-1457

Mailing address

14530 231St St
Springfield Gardens, NY 11413-3929
Phone (214) 438-7089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kate Engstrom LCSW PLLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

159 Bleecker St
Fl 2
New York, NY 10012
Phone (917) 382-8075

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": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1417754672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14530 231ST ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133929",
            "telephone_number": "214-438-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BLEECKER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121457",
            "telephone_number": "917-382-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMOH",
        "first_name": "ELIZABETH",
        "middle_name": "KONA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.