Active NPI
Mandy Daniell Ozuna, LPC
- Professional Counselor
- Colleyville, TX
National Provider Identifier
1124555289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69601
- Practice address
- 6215 Colleyville Blvd
Colleyville, TX 76034-6248 - Phone
- (817) 993-4753
- NPI assigned
- May 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 69601 | TX | Primary |
Addresses
Primary practice location
6215 Colleyville Blvd
Colleyville, TX 76034-6248
Mailing address
3237 Birch Ave
Grapevine, TX 76051-6508
Phone (972) 533-1729
Other practice location 1
1452 Hughes Rd Ste 200
Grapevine, TX 76051-9221
Phone (817) 873-5029
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69601 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1124555289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3237 BIRCH AVE",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760516508",
"telephone_number": "972-533-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6215 COLLEYVILLE BLVD",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760346248",
"telephone_number": "817-993-4753"
}
],
"practiceLocations": [
{
"address_1": "1452 Hughes Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Grapevine",
"state": "TX",
"postal_code": "760519221",
"country_code": "US",
"telephone_number": "817-873-5029",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OZUNA",
"first_name": "MANDY",
"middle_name": "DANIELL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colleyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.