Active NPI
Mind Works Therapy PLLC
Doing business as Mind Works Psychologists
- Psychologist
- Pass Christian, MS
National Provider Identifier
1629601927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- MIND WORKS THERAPY PLLC
- Doing business as
- Mind Works Psychologists
- Practice address
- 213 Henderson Ave
Pass Christian, MS 39571-4309 - Phone
- (228) 300-8819
- Fax
- (601) 401-4289
- NPI assigned
- Feb 15, 2020
- Last updated
- Dec 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristi W Mong, PHD
- Title
- Psychologist
- Phone
- (228) 563-4006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
213 Henderson Ave
Pass Christian, MS 39571-4309
Mailing address
213 Henderson Ave
Pass Christian, MS 39571-4309
Phone (228) 300-8819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009075709 | Medicaid | MS |
Other names 1
- Mind Works Psychologists
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@mindworkspsychologists.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Pass Christian, MS
- NPI 1821654807
-
- Clinical Social Worker
- Pass Christian, MS
- NPI 1205092004
-
- Professional Counselor
- Pass Christian, MS
- NPI 1265700686
-
- Professional Counselor
- Pass Christian, MS
- NPI 1225686439
-
- Clinical Social Worker
- Pass Christian, MS
- NPI 1720744386
-
- Psychiatric/Mental Health Nurse Practitioner
- Pass Christian, MS
- NPI 1417946864
-
- Mental Health Counselor
- Gulfport, MS
- NPI 1194742296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1629601927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 HENDERSON AVE",
"city": "PASS CHRISTIAN",
"state": "MS",
"postal_code": "395714309",
"telephone_number": "228-300-8819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 HENDERSON AVE",
"city": "PASS CHRISTIAN",
"state": "MS",
"postal_code": "395714309",
"telephone_number": "228-300-8819",
"fax_number": "601-401-4289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND WORKS THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-15",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "MONG",
"authorized_official_first_name": "KRISTI",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "228-563-4006",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009075709",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@mindworkspsychologists.com",
"affiliation": "N",
"address_1": "24505 Mare Point Dr",
"city": "Pass Christian",
"state": "MS",
"country_code": "US",
"postal_code": "395713302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Mind Works Psychologists",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mind Works Psychologists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pass Christian, MS
- Philip Albert McShane, PHARMD
- Memorial Hospital at Gulfport (Physicians Clinic at MHG)
- Rachel Louise Meredith
- Christine Miller, LPC
- Mind Repose LLC (The Historic Blue Rose Recovery Mansion)
- Mission Nutrition, L.L.C.
- Mississippi Dental Arts
- Mississippi Superior Senior Services (Right at Home)
- Kristi Mong, PH.D.
- Michael Mong, PH.D., BCBA-D, LBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.