Individual provider Active NPI

Danna Bozick, LSW, NCC, LICDC, CTT

  • Addiction (Substance Use Disorder) Counselor
  • Hubbard, OH
National Provider Identifier
1427361500
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
981384 Issued in OH
Practice address
4505 Logan Way
Hubbard, OH 44425-3311
Phone
(330) 259-3664
Fax
(330) 259-3665
NPI assigned
Jul 19, 2010
Last updated
Jul 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 22869 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 0910-C02 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 981384 OH Primary
Professional Counselor 101YP2500X 601948 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 701089 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 167 OH
Clinical Social Worker 1041C0700X S.0016370 OH

Addresses

Primary practice location

4505 Logan Way
Hubbard, OH 44425-3311

Mailing address

4505 Logan Way
Hubbard, OH 44425-3311
Phone (330) 259-3664

Other identifiers 1

IdentifierTypeStateIssuer
2032571MedicaidOH

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

LicenseStateTypeSpecialty
0910-C02OHMDAddiction (Substance Use Disorder) Counselor
167OHMDAddiction (Substance Use Disorder) Counselor
701089OHMDAddiction (Substance Use Disorder) Counselor
981384OHMDAddiction (Substance Use Disorder) Counselor
22869OHMDMental Health Counselor
601948OHMDProfessional Counselor
S.0016370OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tomas Psychological Services, Inc Past Accepting new patients
Warren Psychiatric Consultants Inc Addiction (Substance Use Disorder) PastSince Jan 1, 2003 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1427361500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 LOGAN WAY",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444253311",
            "telephone_number": "330-259-3664",
            "fax_number": "330-259-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 LOGAN WAY",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444253311",
            "telephone_number": "330-259-3664",
            "fax_number": "330-259-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZICK",
        "first_name": "DANNA",
        "name_prefix": "Ms.",
        "credential": "LSW, NCC, LICDC, CTT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "22869",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "0910-C02",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "981384",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "601948",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "701089",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "167",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.0016370",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032571",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubbard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.