Individual provider Active NPI

Marsibil Mogensen, MA

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1629812151
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH26005 Issued in FL
Practice address
924 N Magnolia Ave Ste 250
Orlando, FL 32803-3849
Phone
(407) 501-6726
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH26005 FL Primary

Addresses

Primary practice location

924 N Magnolia Ave Ste 250
Orlando, FL 32803-3849

Mailing address

4725 New Broad St Apt 309
Orlando, FL 32814-6429
Phone (407) 435-0905

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMH26005FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1629812151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 NEW BROAD ST APT 309",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146429",
            "telephone_number": "407-435-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N MAGNOLIA AVE STE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033849",
            "telephone_number": "407-501-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGENSEN",
        "first_name": "MARSIBIL",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH26005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.