Patricia Vogl, COUNSELOR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15798 Issued in FL

Practice address

2243 Majestic Eagle Circle
Clermont, FL 34714

Phone

(352) 617-0514

NPI assigned

Aug 8, 2018

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1134608342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135262",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347135262",
            "telephone_number": "352-617-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 MAJESTIC EAGLE CIRCLE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34714",
            "telephone_number": "352-617-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGL",
        "first_name": "PATRICIA",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "15798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134608342",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vista Specilty Pharmacy (Key Health Pharmacy)
• Huyen Lu Vitale, PT
• Kaely Delacruz Vivero, RBT
• VMD Primary Providers Central Florida PLLC
• Charles Richard Vogl III
• Denise Vonschmidt
• Thu Trinh Thi Vu
• Tran N Vu, RPH
• Lashai Wade
• Tiffani Wadley, CSW

• Mental Health Counselor in Clermont, FL
• Providers in Clermont, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.