Blake Lindsey Mogel

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

700 Freeman Dr Apt 101
Hampton, VA 23666-4375

Phone

(804) 617-4440

NPI assigned

Dec 9, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Autism Therapeutic Services

  • Behavior Analyst
  • Fayetteville, NC
  • NPI 1598067449

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1578426284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FREEMAN DR APT 101",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236664375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FREEMAN DR APT 101",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236664375",
            "telephone_number": "804-617-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 N King St",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236691909",
            "country_code": "US",
            "telephone_number": "757-720-0099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Loftis Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062999",
            "country_code": "US",
            "telephone_number": "757-720-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGEL",
        "first_name": "BLAKE",
        "middle_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Mizuki, RD
• Mikiso Mizuki Jr., M.D.
• Natasha Mobley, LPC
• Lorenzo Joseph Modeste, D.D.S
• Simple S Modi, MD
• Hamdi O Mohamed, DDS
• Edu Abdulwehab Mohammed, M.D
• Faisal Mohsin, M.D.
• Nancy Roche Mollner, ED.S.
• Monarch Clinical & Consulting Services

• Behavior Technician in Hampton, VA
• Providers in Hampton, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.