Active NPI
Jared Keegan Ozaki
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1487954699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60258551
- Practice address
- 7 S Howard St Ste 321
Spokane, WA 99201-3816 - Phone
- (509) 838-4128
- Fax
- (509) 838-4816
- NPI assigned
- Oct 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60128398 | WA | |
| Mental Health Counselor | 101YM0800X | LH60258551 | WA | Primary |
Addresses
Primary practice location
7 S Howard St Ste 321
Spokane, WA 99201-3816
Mailing address
7 S Howard St Ste 321
Spokane, WA 99201-3816
Phone (509) 838-4128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000569802 | Other | WA | TRICARE |
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 |
|---|---|---|---|
| CG60128398 | WA | MD | Counselor |
| LH60258551 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1487954699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 S HOWARD ST STE 321",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992013816",
"telephone_number": "509-838-4128",
"fax_number": "509-838-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 S HOWARD ST STE 321",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992013816",
"telephone_number": "509-838-4128",
"fax_number": "509-838-4816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZAKI",
"first_name": "JARED",
"middle_name": "KEEGAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-22",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60128398",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60258551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "000569802",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.