Drena Victoria Mongo, E.2303791

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2303791 Issued in OH

Practice address

9083 Mentor Ave
Mentor, OH 44060-6462

Phone

(440) 255-6348

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1952959397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37221 GROVE AVE APT 203",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440945958",
            "telephone_number": "216-983-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9083 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606462",
            "telephone_number": "440-255-6348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23293 Commerce Park",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225808",
            "country_code": "US",
            "telephone_number": "216-292-7170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONGO",
        "first_name": "DRENA",
        "middle_name": "VICTORIA",
        "name_prefix": "Miss",
        "credential": "E.2303791",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Frank Molek III
• Tiffany Monaco
• Conor D. Monaghan
• Leslie Cuva Mongelluzzi, IMFT
• Jennifer Kathrin Mongenel, LISW
• Amy Monk
• Samantha E Montell
• Nicole Rose Monyak, LPC, CDCA, AT
• Kailee Morgan Moore, LSW
• Samitha Moorehead

• Mental Health Counselor in Mentor, OH
• Providers in Mentor, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.