1003049727 NPI number — PAMELA HELEN DEHART MA, LPC , CAC, CCDP

NPI Number: 1003049727
Health Care Provider/Practitioner: PAMELA HELEN DEHART MA, LPC , CAC, CCDP

NPI Number : 1003049727 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003049727",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEHART",
    "FirstName": "PAMELA",
    "MiddleName": "HELEN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MA, LPC , CAC, CCDP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "919 N 20TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALLENTOWN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18104-3701",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-770-7558",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "555 HARRISON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EMMAUS",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18049-2339",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-965-6418",
    "PracticeLocationAddressFaxNumber": "610-965-6382",
    "EnumerationDate": "08/27/2009",
    "LastUpdateDate": "12/11/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "PC005001",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "PC005001 CAC, PCB",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "PC005001 CCDP, PCB",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}