Individual provider Active NPI

Martin None Mensah, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1821743865
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1073624 Issued in TX
Practice address
19206 Juergen Rd
Tomball, TX 77377-5758
Phone
(505) 445-4076
Fax
(210) 444-2171
NPI assigned
Feb 17, 2022
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1073624 TX Primary

Addresses

Primary practice location

19206 Juergen Rd
Tomball, TX 77377-5758

Mailing address

PO Box 2433
Cypress, TX 77410-2433
Phone (832) 938-9353

Other practice location 1

1016 South Ln
Houston, TX 77088-6148
Phone (832) 938-9353

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621002612 TX Practitioner - Nurse Practitioner 7214316355 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four Winds Psychiatry PLLCGroup PAC ID 0941673537, 3 clinicians

Practice addresses (Care Compare)

1016 S LN
Houston, TX 77088-6148
Phone (832) 962-8656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bliss Advanced Clinical Solutions, PLLC CurrentSince Jun 15, 2022 Accepting new patients
International Mission Center Church, Inc. CurrentSince Jul 2, 2024 Accepting new patients
Fourwinds Psychiatry PLLC Nurse Practitioner CurrentSince Oct 28, 2022 Accepting new patients
International Mission Center Church, Inc. PastSince Jul 2, 2024 Accepting new patients

Locations

807 E Hanson St
Cleveland, TX 77327
Phone (281) 592-9222

5282 Medical Dr
Ste 605
San Antonio, TX 78229
Phone (210) 271-3630

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1821743865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2433",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774102433",
            "telephone_number": "832-938-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19206 JUERGEN RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775758",
            "telephone_number": "505-445-4076",
            "fax_number": "210-444-2171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 South Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770886148",
            "country_code": "US",
            "telephone_number": "832-938-9353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENSAH",
        "first_name": "MARTIN",
        "middle_name": "NONE",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-17",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1073624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.