Active NPI
Katasha Jene' Bozeman, MS, LPC
- Professional Counselor
- Birmingham, AL
National Provider Identifier
1679945224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3465
- Practice address
- 924 Montclair Rd Ste 106
Birmingham, AL 35213-1210 - Phone
- (205) 356-6226
- NPI assigned
- Oct 22, 2015
- 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 | 3465 | AL | Primary |
Addresses
Primary practice location
924 Montclair Rd Ste 106
Birmingham, AL 35213-1210
Mailing address
293 Colonial Lane
Odenville, AL 35120
Phone (205) 356-6226
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3465 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1679945224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 COLONIAL LANE",
"city": "ODENVILLE",
"state": "AL",
"postal_code": "35120",
"telephone_number": "205-356-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 MONTCLAIR RD STE 106",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352131210",
"telephone_number": "205-356-6226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZEMAN",
"first_name": "KATASHA",
"middle_name": "JENE'",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "3465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.