Active NPI
Daniella Kozan, MA
- Professional Counselor
- Austin, TX
National Provider Identifier
1891210100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 83268
- Practice address
- 12835 Meehan Dr
Austin, TX 78727-4518 - Phone
- (646) 701-3514
- NPI assigned
- Aug 8, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 18335 | TX | |
| Professional Counselor | 101YP2500X | 83268 | TX | Primary |
Addresses
Primary practice location
12835 Meehan Dr
Austin, TX 78727-4518
Mailing address
12835 Meehan Dr
Austin, TX 78727-4518
Phone (646) 701-3514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JLJ719298323 | Medicaid | NY |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83268 | TX | MD | Professional Counselor |
| 18335 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1891210100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12835 MEEHAN DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787274518",
"telephone_number": "646-701-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12835 MEEHAN DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787274518",
"telephone_number": "646-701-3514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZAN",
"first_name": "DANIELLA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "TX",
"license": "18335",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "83268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JLJ719298323",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.