Individual provider Active NPI

Amina Omar Ali, LMSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1922682319
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2600 Gessner Rd Ste 203
Houston, TX 77080-3843
Phone
(713) 419-1600
NPI assigned
May 11, 2021
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 104144 TX
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2600 Gessner Rd Ste 203
Houston, TX 77080-3843

Mailing address

2600 Gessner Rd Ste 203
Houston, TX 77080-3843
Phone (713) 419-1600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amina@mosaictreecounseling.com Direct Maria Peters dba Mosaic Tree Counseling

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240424004251 TX Practitioner - Clinical Social Worker 8527408582 Reassigns benefits to 2 organizations
I20260223003160 NC Practitioner - Clinical Social Worker 8527408582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanglewood Behavioral Health Group PCGroup PAC ID 4587038690, 2 clinicians

Practice addresses (Care Compare)

1220 Augusta Dr
Suite 290
Houston, TX 77057-2263
Phone (832) 931-7596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104144TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 19, 2024 Accepting new patients
Tanglewood Behavioral Health Group PC Clinical CurrentSince Apr 19, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

1220 Augusta Dr
Ste 290
Houston, TX 77057
Phone (713) 428-8700

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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, 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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1922682319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GESSNER RD STE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803843",
            "telephone_number": "713-419-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GESSNER RD STE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803843",
            "telephone_number": "713-419-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR ALI",
        "first_name": "AMINA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "104144",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amina@mosaictreecounseling.com",
            "affiliation": "Y",
            "endpointDescription": "business email",
            "affiliationName": "Maria Peters dba Mosaic Tree Counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Gessner Rd Ste 203",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770803843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.