Active NPI
Ivy Ofori, LPC
- Professional Counselor
- Grand Prairie, TX
National Provider Identifier
1992215396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75524
- Practice address
- 5840 Silver Sage LN
Grand Prairie, TX 75052-8760 - Phone
- (830) 822-8225
- NPI assigned
- Oct 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 75524 | TX | Primary |
Addresses
Primary practice location
5840 Silver Sage LN
Grand Prairie, TX 75052-8760
Mailing address
PO Box 123
Wilmer, TX 75172-0123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 822736801 | Other | TX | TAX ID |
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 |
|---|---|---|---|
| 75524 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1992215396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 123",
"city": "WILMER",
"state": "TX",
"postal_code": "751720123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5840 SILVER SAGE LN",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528760",
"telephone_number": "830-822-8225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFORI",
"first_name": "IVY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-11",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "822736801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.