Individual provider Active NPI

Kristin Mena, LCSW, PHD

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1730995689
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69595 Issued in TX
Practice address
4902 Cheena Dr
Houston, TX 77096-4222
Phone
(832) 577-3247
NPI assigned
Dec 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 69595 TX Primary

Addresses

Primary practice location

4902 Cheena Dr
Houston, TX 77096-4222

Mailing address

4902 Cheena Dr
Houston, TX 77096-4222
Phone (832) 577-3247

Other practice location 1

18200 Katy Fwy
Houston, TX 77094-1285
Phone (832) 227-1000

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
I20250204000208 TX Practitioner - Clinical Social Worker 1658801881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

600 Congress Ave
Austin, TX 78701-3238
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Jan 30, 2025 Accepting new patients
Texas Children'S Physician Group CurrentSince Dec 4, 2025 Accepting new patients
Texas Children'S Hospital Past Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

18200 Katy Fwy
Houston, TX 77094
Phone (832) 227-1000

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Organizations & group practices 3

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": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1730995689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 CHEENA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964222",
            "telephone_number": "832-577-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 CHEENA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964222",
            "telephone_number": "832-577-3247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18200 Katy Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770941285",
            "country_code": "US",
            "telephone_number": "832-227-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENA",
        "first_name": "KRISTIN",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.