Individual provider Active NPI

Joni Mondy

  • Professional Counselor
  • Seagoville, TX
National Provider Identifier
1619628211
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82748 Issued in TX
Practice address
124 Quail Run Dr
Seagoville, TX 75159-2532
Phone
(469) 733-6057
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 82748 TX Primary

Addresses

Primary practice location

124 Quail Run Dr
Seagoville, TX 75159-2532

Mailing address

124 Quail Run Dr
Seagoville, TX 75159-2532
Phone (469) 733-6057

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
I20231228003946 TX Practitioner - Mental Health Counselor 6002266319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakes Regional Mental Health Mental Retardation CenterGroup PAC ID 9739175225, 18 clinicians

Practice addresses (Care Compare)

1300 W 16TH St
Mt Pleasant, TX 75455-2046
Phone 97252441591183

400 Airport Rd
Terrell, TX 75160-4302
Phone 97252441591183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Regional Mental Health Mental Retardation Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

1300 W 16th St
Mt Pleasant, TX 75455
Phone (972) 524-4159

400 Airport Rd
Terrell, TX 75160
Phone (972) 524-4159

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1619628211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 QUAIL RUN DR",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751592532",
            "telephone_number": "469-733-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 QUAIL RUN DR",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751592532",
            "telephone_number": "469-733-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDY",
        "first_name": "JONI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seagoville, TX

Sources for this page

Verify at the official NPI Registry.