DR. KOJO MINTAH (PHD) – Psychologist, NPI 1063303022

DR. KOJO MINTAH (PHD) is a healthcare provider. based in Houston, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 40203 (TX). The NPI Number for DR. KOJO MINTAH (PHD) is 1063303022

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. KOJO MINTAH (PHD)
NPI
1063303022
Phone
(281) 850-4453
Address
2914 LA FONTAINE DRIVE
Enumeration Date
9 July 2025
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8448248775
Graduation Year
2021 (5 years ago)
PAC ID
8022526953
Group Practice PAC ID
4486794906
Professional Enrollment ID
I20250801003719
Address ID
TX773804162TH2103XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. KOJO MINTAH (PHD)

  • 2914 LA FONTAINE DRIVE

    HOUSTON, TX 770142492

    Phone: (281) 850-4453

    Fax: (713) 513-5194

    Type: Mailing

  • 2211 NORFOLK ST STE 455

    HOUSTON, TX 770984119

    Phone: (832) 278-1849

    Fax: (713) 513-5194

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250801003719IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486794906View full group profile
NameSpecialtyState
Clinical Social WorkerTX
P S Y C H I A T R YNY
Clinical Social WorkerTX
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
P S Y C H I A T R YTX
Nurse PractitionerMO
Nurse PractitionerTX
Mental Health CounselorTX

Reviews

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Frequently asked questions

Is DR. KOJO MINTAH (PHD) listed with a National Provider Identifier?
Yes — DR. KOJO MINTAH (PHD) has NPI 1063303022 on file in the registry.
Active or inactive — what applies to DR. KOJO MINTAH (PHD)?
You should see DR. KOJO MINTAH (PHD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. KOJO MINTAH (PHD)?
At a glance, DR. KOJO MINTAH (PHD) is tied to Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KOJO MINTAH (PHD)?
Travel planning: use Houston, Texas as the reference point for DR. KOJO MINTAH (PHD), then confirm.
Does DR. KOJO MINTAH (PHD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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