Individual provider Active NPI

Azra Omerbegovic, MS, MLADC, LCMHC

  • Mental Health Counselor
  • Hooksett, NH
National Provider Identifier
1982938171
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2081 Issued in NH
Practice address
62A Dale Rd
Hooksett, NH 03106-1654
Phone
(603) 540-4453
Fax
(603) 600-6661
NPI assigned
Sep 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0580 NH
Mental Health Counselor 101YM0800X 2081 NH Primary

Addresses

Primary practice location

62A Dale Rd
Hooksett, NH 03106-1654

Mailing address

62A Dale Rd
Hooksett, NH 03106-1654
Phone (603) 540-4453

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

LicenseStateTypeSpecialty
2081NHMDMental Health Counselor
0580NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
LLC Carpe Diem Addiction (Substance Use Disorder) CurrentSince Apr 16, 2023 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": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1982938171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62A DALE RD",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061654",
            "telephone_number": "603-540-4453",
            "fax_number": "603-600-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62A DALE RD",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061654",
            "telephone_number": "603-540-4453",
            "fax_number": "603-600-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMERBEGOVIC",
        "first_name": "AZRA",
        "credential": "MS, MLADC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0580",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hooksett, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.