Jason Mogus, LPCC, LICDC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.2001870 Issued in OH

Practice address

180 W Lisbon St
Waynesburg, OH 44688-9354

Phone

(330) 826-1430

Fax

(330) 493-1154

NPI assigned

Dec 19, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jasonmogus@tdh.allscriptsdirect.net

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.

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  • NPI 1558535658
  Medicare reassignment NPD
• Center for Renewed Minds, LLC

  • Mental Health Counselor
  • Uniontown, OH
  • NPI 1790368215

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1528503067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W LISBON ST",
            "city": "WAYNESBURG",
            "state": "OH",
            "postal_code": "446889354",
            "telephone_number": "330-826-1430",
            "fax_number": "330-493-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W LISBON ST",
            "city": "WAYNESBURG",
            "state": "OH",
            "postal_code": "446889354",
            "telephone_number": "330-826-1430",
            "fax_number": "330-493-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGUS",
        "first_name": "JASON",
        "credential": "LPCC, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-19",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.161082",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2001870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Waynesburg, OH
• Providers in Waynesburg, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.

Verify at the official NPI Registry.