Elizabeth Moga, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH-60917362 Issued in WA

Practice address

435 Ericksen Ave NE Ste 240
Bainbridge Island, WA 98110-1896

Phone

(206) 300-4412

NPI assigned

Sep 14, 2015

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

Other names 1

• Beth Moga Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1730557240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4595",
            "city": "ROLLINGBAY",
            "state": "WA",
            "postal_code": "980610595",
            "telephone_number": "206-300-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ERICKSEN AVE NE STE 240",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101896",
            "telephone_number": "206-300-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGA",
        "first_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH-60917362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "MOGA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Barbara Ann Mills, MS. LMFT
• Kathleen Ann Mills, RDH
• Brigette Milne, LMP
• Hannah Mimmack
• Anne Moffat, LM
• Thomas Ralph Monk, MD
• Ginger Dane Moriarty, MSW
• Karen L. Morice, PA
• Miriam Morrow, ARNP
• Perry D Mostov, DO

• Mental Health Counselor in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.