Active NPI
Jana Mitchell-Momoh
- Counselor
- Henderson, NV
National Provider Identifier
1669924908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1050 Whitney Ranch Dr
Henderson, NV 89014-2540 - Phone
- (612) 743-7385
- NPI assigned
- Nov 3, 2016
- Reactivated
- Sep 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1050 Whitney Ranch Dr
Henderson, NV 89014-2540
Mailing address
1050 Whitney Ranch Dr Apt 1626
Henderson, NV 89014-2546
Phone (127) 437-3856
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bell Medical Services Inc. | Current | Accepting new patients | |
| Skills 4 Kids, LLC | Counselor | Past | Accepting new patients |
Locations
6901 78th Ave N
Ste 104
Brooklyn Park, MN 55445
Phone (763) 208-0975
Organizations & group practices 2
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.
-
- Home Health Agency
- Brooklyn Park, MN
- NPI 1578076220
-
- Counselor
- Las Vegas, NV
- NPI 1396919288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1669924908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 WHITNEY RANCH DR APT 1626",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142546",
"telephone_number": "127-437-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 WHITNEY RANCH DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142540",
"telephone_number": "612-743-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL-MOMOH",
"first_name": "JANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-03",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"deactivation_date": "2017-11-15",
"reactivation_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.