Active NPI
Phyllis Mogielski Watson, LPCC
- Mental Health Counselor
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180001282
- Practice address
- 70 Birch Aly
Beavercreek, OH 45440-1479 - Phone
- (800) 892-2695
- NPI assigned
- Apr 15, 2008
- Last updated
- Dec 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.2303621 | OH | |
| Mental Health Counselor | 101YM0800X | 46.006844 | CT | |
| Mental Health Counselor | 101YM0800X | CC7537 | ME | |
| Mental Health Counselor | 101YM0800X | 288691 | KY | |
| Mental Health Counselor | 101YM0800X | LPC.0018030 | CO | |
| Mental Health Counselor | 101YM0800X | 2999 | WV | |
| Mental Health Counselor | 101YM0800X | 0011569 | DE | |
| Mental Health Counselor | 101YM0800X | LPC.20988 | AZ | |
| Mental Health Counselor | 101YM0800X | 180001282 | IL | Primary |
| Professional Counselor | 101YP2500X | E.2303621 | OH | |
| Professional Counselor | 101YP2500X | 180001282 | IL |
Addresses
Primary practice location
70 Birch Aly
Beavercreek, OH 45440-1479
Mailing address
101 Centerpoint Dr Ste 105
Middletown, CT 06457-7568
Phone (866) 744-1930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, OH, DE, ME, CO, IL, WV, NH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.20988 | AZ | MD | Mental Health Counselor |
| 46.006844 | CT | MD | Mental Health Counselor |
| 0011569 | DE | MD | Mental Health Counselor |
| 288691 | KY | MD | Mental Health Counselor |
| 2999 | WV | MD | Mental Health Counselor |
| 180001282 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pursuecare Connecticut PC | Professional | Current | Accepting new patients |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Pursuecare NH LLC | Mental Health | Current | Accepting new patients |
| Cloud Health Medical Group, P.a. | Current | Accepting new patients | |
| Pai CT PLLC | Professional | Current | Accepting new patients |
| Pursuecare, LLC | Mental Health | Current | Accepting new patients |
| Pai Medical WV PLLC | Professional | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
250 Fillmore St
Unit 150
Denver, CO 80206
Phone (410) 505-0521
5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
101 Centerpoint Dr
Ste 105
Middletown, CT 06457
Phone (860) 245-8553
200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200
4735 Ogletown Stanton Rd
Ste 2112
Newark, DE 19713
Phone (302) 623-2853
1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
4010 DuPont Cir
Ste 449
Louisville, KY 40207
Phone (860) 270-0485
128 State St
Ste 3
Augusta, ME 04330
Phone (860) 270-0485
254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309
3 Executive Park Dr
#201A
Bedford, NH 03110
Phone (860) 245-8553
4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (855) 679-2366
1308 4th Ave
Huntington, WV 25701
Phone (304) 525-1222
3058C Charles Town Rd
Kearneysville, WV 25430
Phone (860) 270-0485
Organizations & group practices 9
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.
-
- Addiction Medicine (Preventive Medicine) Physician
- Middletown, CT
- NPI 1841027653
Professional
-
- Addiction Medicine (Preventive Medicine) Physician
- Middletown, CT
- NPI 1962068296
DE, KY, ME, Mental Health, NH, OH, WV
-
- Addiction Medicine (Preventive Medicine) Physician
- Cincinnati, OH
- NPI 1043039142
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1295909851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CENTERPOINT DR STE 105",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064577568",
"telephone_number": "866-744-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BIRCH ALY",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454401479",
"telephone_number": "800-892-2695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGIELSKI WATSON",
"first_name": "PHYLLIS",
"name_prefix": "Dr.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-15",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.2303621",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "46.006844",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "CC7537",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "288691",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0018030",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "2999",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "0011569",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC.20988",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180001282",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2303621",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180001282",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.