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NPI 1679099725ActiveOrganization· Counselor, Professional· Lake Ozark, MO
Counselor, Professional in Lake Ozark, Missouri, registered in NPPES in August 2017, part of Change Academy at Lake of the Ozarks, LLC. The authorized official on file is Cecily M. Mitchell, Director.
Overview
| NPI | 1679099725 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Change Academy at Lake of the Ozarks, LLC |
| NPI issued | Aug 21, 2017 |
| Last updated in NPPES | Aug 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 2012040525 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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