Individual provider Active NPI

Javier Ocariz, M.A. LPCC

  • Mental Health Counselor
  • Rochester, MN
National Provider Identifier
1083308308
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3873 Issued in MN
Practice address
2212 2ND St SW
Rochester, MN 55902-4420
Phone
(507) 216-7995
Fax
(507) 289-2327
NPI assigned
Jun 8, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 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 3873 MN Primary

Addresses

Primary practice location

2212 2ND St SW
Rochester, MN 55902-4420

Mailing address

5717 Stapleton LN NW
Rochester, MN 55901-3717
Phone (541) 647-9421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20240403000242 MN Practitioner - Mental Health Counselor 3779944152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3873MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Zumbro Valley Health Center CurrentSince Feb 12, 2024 Accepting new patients
Javier Ocariz L.L.C. Mental Health CurrentSince Dec 8, 2024 Accepting new patients

Locations

343 Woodlake Dr SE
Rochester, MN 55904
Phone (507) 289-2089

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1083308308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 STAPLETON LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013717",
            "telephone_number": "541-647-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 2ND ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024420",
            "telephone_number": "507-216-7995",
            "fax_number": "507-289-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCARIZ",
        "first_name": "JAVIER",
        "credential": "M.A. LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.