Organization Active NPI

Mona Mentors PLLC

Doing business as Mona Ellis/Mona Therapy

  • Counselor
  • Houston, TX
National Provider Identifier
1871324335
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MONA MENTORS PLLC
Doing business as
Mona Ellis/Mona Therapy
Practice address
363 N Sam Houston Pkwy E Ste 1103
Houston, TX 77060-2404
Phone
(713) 266-2090
Fax
(888) 481-5657
NPI assigned
Aug 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Mona S Ellis, SAP LCDC SUDC, LISACNPI 1912289174
Title
Sole Managing Member/Provider
Phone
(713) 266-2090

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X

Addresses

Primary practice location

363 N Sam Houston Pkwy E Ste 1103
Houston, TX 77060-2404

Mailing address

446 Beach Rose Xing
Crosby, TX 77532-4167
Phone (713) 266-2090

Other practice location 1

2305 North St Ste 109
Beaumont, TX 77702-1728
Phone (713) 266-2090

Other practice location 2

12621 N Tatum Blvd # 1014
Phoenix, AZ 85032-7710
Phone (713) 266-2090

Other names 1

  • Mona Ellis/Mona Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250607000167 TX Part B Supplier - Clinic/Group Practice 2466962626 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

2305 North St
Ste 109
Beaumont, TX 77702
Phone (713) 266-2090

363 N Sam Houston Pkwy E
Ste 1103
Houston, TX 77060
Phone (713) 266-2090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1871324335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 BEACH ROSE XING",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775324167",
            "telephone_number": "713-266-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 N SAM HOUSTON PKWY E STE 1103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770602404",
            "telephone_number": "713-266-2090",
            "fax_number": "888-481-5657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 North St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021728",
            "country_code": "US",
            "telephone_number": "713-266-2090",
            "fax_number": "888-481-5657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12621 N Tatum Blvd # 1014",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850327710",
            "country_code": "US",
            "telephone_number": "713-266-2090",
            "fax_number": "888-481-5657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONA MENTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MANAGING MEMBER/PROVIDER",
        "authorized_official_telephone_number": "713-266-2090",
        "authorized_official_credential": "SAP LCDC SUDC, LISAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mona Ellis/Mona Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.