Ashley Marie Mogle

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP11790 Issued in MD

Practice address

120 Banjo LN
Centreville, MD 21617-1002

Phone

(410) 758-2211

Fax

(410) 758-0698

NPI assigned

Aug 12, 2021

Last updated

Aug 12, 2021By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Way Station Inc

  • Multi-Specialty Clinic/Center
  • Columbia, MD
  • NPI 1104914464
  NPD (past)

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1063187961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ABRUZZI DR",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192377",
            "telephone_number": "302-535-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BANJO LN",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171002",
            "telephone_number": "410-758-2211",
            "fax_number": "410-758-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGLE",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP11790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Kim McSorley
• Molly Malone Melvin
• Meridian Health, Inc (Corsica Hills Center)
• Lisa Marie Miller
• Katherine Mills
• Mary Jean Mollen, OTR/L
• Karen Monroe, FNP-C, PMHNP-C
• Lori Moore, R.N
• April Lyn Motovidlak, CRNP
• Cynthia Wood Mundle, M.D.

• Mental Health Counselor in Centreville, MD
• Providers in Centreville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.