Active NPI
Megan Morene Mobbley
- Counselor
- North Bend, OR
National Provider Identifier
1508398975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MOBBLMM088B1
- Practice address
- 1913 Meade Street
North Bend, OR 97420 - Phone
- (541) 956-4943
- Fax
- (541) 956-5463
- NPI assigned
- Apr 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MOBBLMM088B1 | WA | Primary |
Addresses
Primary practice location
1913 Meade Street
North Bend, OR 97420
Mailing address
715 SW Ramsey Ave
Grants Pass, OR 97527-5500
Phone (541) 956-4943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MOBBLMM088B1 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1508398975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 SW RAMSEY AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275500",
"telephone_number": "541-956-4943",
"fax_number": "541-956-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 MEADE STREET",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "97420",
"telephone_number": "541-956-4943",
"fax_number": "541-956-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBBLEY",
"first_name": "MEGAN",
"middle_name": "MORENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-03",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MOBBLMM088B1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.