MEDICARE: COLIN JOSEPH MONG LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	294049	KY
2	101YM0800X	Mental Health Counselor	E.2505554	OH

General Provider Information

NPI Number	:	1255275434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLIN JOSEPH MONG LPCC

Provider Business Mailing Address
First Line	:	1126 PRISCILLA LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-2934
Country	:	US
Telephone Number	:	740-703-8893
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 NUNN DR
Second Line	:
City	:	NEWPORT
State	:	KY
Zip	:	41099-0002
Country	:	US
Telephone Number	:	740-703-8893
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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Directions to “ COLIN JOSEPH MONG LPCC” Practice Location

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