Organization Active NPI

Alexander J. Muzichuk

  • Professional Counselor
  • Nixa, MO
National Provider Identifier
1609270305
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ALEXANDER J. MUZICHUK
Practice address
380 E State Highway CC
Suite A101
Nixa, MO 65714-7459
Phone
(417) 725-8810
Fax
(417) 725-6206
NPI assigned
Oct 9, 2014
Last updated
Oct 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Alexander MuzichukNPI 1689078396
Title
Professional Counselor
Phone
(904) 887-4676

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)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MO Primary

Addresses

Primary practice location

380 E State Highway CC
Suite A101
Nixa, MO 65714-7459

Mailing address

1203 E Melton Rd
Ozark, MO 65721-6384
Phone (904) 887-4676

National Provider Directory

National Provider Directory

Locations

380 E State Highway CC
Ste A101
Nixa, MO 65714
Phone (417) 725-8810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1609270305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E MELTON RD",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657216384",
            "telephone_number": "904-887-4676",
            "fax_number": "417-725-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E STATE HIGHWAY CC",
            "address_2": "SUITE A101",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147459",
            "telephone_number": "417-725-8810",
            "fax_number": "417-725-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER J. MUZICHUK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "MUZICHUK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "904-887-4676"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.