Ghislaine Kenmegne Datouo Mogo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN1028252 Issued in DC

Practice address

4130 Hunt PL NE
Washington, DC 20019-3565

Phone

(202) 679-0620

NPI assigned

Oct 15, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cope Community Services IncGroup PAC ID 9537131198, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Cope Community Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Tucson, AZ
  • NPI 1689196420

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Cope Community Services, Inc.

  • Professional Counselor
  • Tucson, AZ
  • NPI 1336863695
  NPD
• Cope Community Services, Inc.

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1417029448

  Single Specialty

  NPD

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1164064705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9580 MUIRKIRK RD APT 101",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082717",
            "telephone_number": "240-705-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 HUNT PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193565",
            "telephone_number": "202-679-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGO",
        "first_name": "GHISLAINE",
        "middle_name": "KENMEGNE DATOUO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1028252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000-000-000",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Washington",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4130 Hunt Pl NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200193565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Priscillia N Moghalu
• Tarek Mohammad Mogharbel, DDS
• Yavar Moghimi, M.D.
• Sam Moghtaderi, M.D.
• Rachel S Mogil, MD
• Jolivette Mogoh
• Indira Mohabeer
• Kimberly Mohabir, MD
• Ahmed Abdallah Mohamed Ebeid
• Asha Mohamed

• Psychiatric/Mental Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.