Individual provider Active NPI

Davine Moraa Mogaka

  • Mental Health Counselor
  • Little Elm, TX
National Provider Identifier
1124872395
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
89808 Issued in TX
Practice address
2308 Shadabury Dr
Little Elm, TX 75068-5574
Phone
(908) 422-8002
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 89808 TX Primary

Addresses

Primary practice location

2308 Shadabury Dr
Little Elm, TX 75068-5574

Mailing address

2308 Shadabury Dr
Little Elm, TX 75068-5574
Phone (908) 422-8002

Other practice location 1

4645 Samuell Blvd
Dallas, TX 75228-6826
Phone (214) 743-1200

Other practice location 2

3330 S Lancaster Rd
Dallas, TX 75216-4531
Phone (214) 371-6639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240427001988 TX Practitioner - Mental Health Counselor 0042650806 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89808TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Mar 29, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 3, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

4645 Samuell Blvd
Dallas, TX 75228
Phone (214) 275-7393

3330 S Lancaster Rd
Dallas, TX 75216
Phone (214) 371-0474

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1124872395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 SHADABURY DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685574",
            "telephone_number": "908-422-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 SHADABURY DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685574",
            "telephone_number": "908-422-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4645 Samuell Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752286826",
            "country_code": "US",
            "telephone_number": "214-743-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 S Lancaster Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752164531",
            "country_code": "US",
            "telephone_number": "214-371-6639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGAKA",
        "first_name": "DAVINE",
        "middle_name": "MORAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

Verify at the official NPI Registry.