Organization Active NPI

Ashley a Borgatta LCSW

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Lawn, PA
National Provider Identifier
1356996664
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ASHLEY A BORGATTA LCSW
Practice address
1103 Rocky Rd Ste 202
West Lawn, PA 19609-1166
Phone
(484) 663-4620
NPI assigned
Aug 4, 2019
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Mrs. Ashley Anne Moser, LCSWNPI 1144676115
Title
Owner
Phone
(484) 332-0565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1103 Rocky Rd Ste 202
West Lawn, PA 19609-1166

Mailing address

1409 Garden LN
Wyomissing, PA 19610-2503
Phone (484) 332-0565

Other practice location 1

7 Bristol Ct
Wyomissing, PA 19610-1805
Phone (484) 332-0565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190916000411 PA Part B Supplier - Clinic/Group Practice 0547599698 Receives reassigned benefits from 4 practitioners
Practice locations: West Lawn, PA; Reading, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1356996664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 GARDEN LN",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102503",
            "telephone_number": "484-332-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 ROCKY RD STE 202",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091166",
            "telephone_number": "484-663-4620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Bristol Ct",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196101805",
            "country_code": "US",
            "telephone_number": "484-332-0565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASHLEY A BORGATTA LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-04",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-332-0565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lawn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.