Organization Active NPI

Oz Psychotherapy LLC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1851809123
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
OZ PSYCHOTHERAPY LLC
Practice address
2850 McClelland Dr Ste 3000M
Fort Collins, CO 80525-5206
Phone
(970) 632-3332
Fax
(970) 449-7404
NPI assigned
Jan 19, 2018
Last updated
Dec 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Jennifer Stephenson, M.A.NPI 1699050088
Title
Owner/Provider
Phone
(970) 632-3332

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2850 McClelland Dr Ste 3000M
Fort Collins, CO 80525-5206

Mailing address

2850 McClelland Dr Ste 3000M
Fort Collins, CO 80525-5206
Phone (970) 632-3332

Other identifiers 2

IdentifierTypeStateIssuer
9000162221MedicaidCO
1699050088MedicaidCO

National Provider Directory

National Provider Directory

Locations

2850 McClelland Dr
Ste 3000M
Fort Collins, CO 80525
Phone (970) 632-3332

1151 Eagle Dr
Loveland, CO 80537
Phone (970) 222-3904

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": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1851809123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MCCLELLAND DR STE 3000M",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255206",
            "telephone_number": "970-632-3332",
            "fax_number": "970-449-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MCCLELLAND DR STE 3000M",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255206",
            "telephone_number": "970-632-3332",
            "fax_number": "970-449-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZ PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "970-632-3332",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000162221",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699050088",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.