Kayla Mogg, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451022500 Issued in MI

Practice address

1714 Eastman Ave
Midland, MI 48640-4216

Phone

(989) 631-5390

NPI assigned

Sep 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family & Childrens Services Mid-Michigan FCSM

  • Mental Health Counselor
  • Midland, MI
  • NPI 1144275660
  NPD

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1003536780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5396 W SCHOOL RD",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "488839626",
            "telephone_number": "989-763-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404216",
            "telephone_number": "989-631-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGG",
        "first_name": "KAYLA",
        "credential": "LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Ryan Mize, LLMSW
• Cammie Mockridge
• Karina Jean Moe
• Melissa Sue Moe, BSW, MSW
• Amy Katherine Moffett
• Mamoon Mohiddin, MD
• Ryan Moir
• Seth Moldenhauer
• Emily K Molnar, DPT
• Monaghan Post-Vasold Podiatry PLC

• Mental Health Counselor in Midland, MI
• Providers in Midland, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.