Active NPI
Alicia J Ozenberger, M.ED.
- Counselor
- Columbia, MO
National Provider Identifier
1063735355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2006015577
- Practice address
- 601 W Nifong Blvd
BLDG 5a
Columbia, MO 65203-6804 - Phone
- (573) 214-0436
- NPI assigned
- Mar 1, 2010
- 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 | 2006015577 | MO | Primary |
Addresses
Primary practice location
601 W Nifong Blvd
BLDG 5a
Columbia, MO 65203-6804
Mailing address
511 Summertime Dr
Ashland, MO 65010-1117
Phone (573) 864-1113
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006015577 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1063735355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 SUMMERTIME DR",
"city": "ASHLAND",
"state": "MO",
"postal_code": "650101117",
"telephone_number": "573-864-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W NIFONG BLVD",
"address_2": "BLDG 5A",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652036804",
"telephone_number": "573-214-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZENBERGER",
"first_name": "ALICIA",
"middle_name": "J",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2006015577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.