Active NPI
Mosaic Counseling Inc
- Professional Counselor
- Owensboro, KY
National Provider Identifier
1124627484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MOSAIC COUNSELING INC
- Practice address
- 2767 Veach Rd Ste D
Owensboro, KY 42303-6200 - Phone
- (270) 385-0096
- Fax
- (270) 297-4944
- NPI assigned
- Oct 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Jit, LPCC
- Title
- President
- Phone
- (937) 244-9209
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2767 Veach Rd Ste D
Owensboro, KY 42303-6200
Mailing address
2948 Summer Point CT
Owensboro, KY 42303-4023
Phone (937) 244-9209
National Provider Directory
National Provider DirectoryLocations
2767 Veach Rd
Ste D
Owensboro, KY 42303
Phone (270) 385-0096
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603065600000",
"number": "1124627484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2948 SUMMER POINT CT",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423034023",
"telephone_number": "937-244-9209",
"fax_number": "270-297-4944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2767 VEACH RD STE D",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423036200",
"telephone_number": "270-385-0096",
"fax_number": "270-297-4944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC COUNSELING INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A",
"authorized_official_last_name": "JIT",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-244-9209",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.