Active NPI
Alexander John Muzichuk, PLPC
- Professional Counselor
- Nixa, MO
National Provider Identifier
1689078396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2014040806
- 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
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2014040806 | MO | Primary |
Addresses
Primary practice location
380 E State Highway CC
Suite A101
Nixa, MO 65714-7459
Mailing address
380 E State Highway CC
Suite A101
Nixa, MO 65714-7459
Phone (417) 725-8810
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 |
|---|---|---|---|
| 2014040806 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexander J. Muzichuk | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1689078396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": {
"last_name": "MUZICHUK",
"first_name": "ALEXANDER",
"middle_name": "JOHN",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-09",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2014040806",
"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 Nov 25, 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.