1003061425 NPI number — JOHN OSTROWSKI JR. MA, LPC/S, NCC

NPI Number: 1003061425
Health Care Provider/Practitioner: JOHN OSTROWSKI JR. MA, LPC/S, NCC

NPI Number : 1003061425 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003061425",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OSTROWSKI",
    "FirstName": "JOHN",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": "JR.",
    "Credential": "MA, LPC/S, NCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OSTROWSKI",
    "OtherFirstName": "JAY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MA, LPC/S, NCC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1519 MECKLENBURG HWY UNIT 362",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOORESVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28123-2016",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "616-881-6262",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1519 MECKLENBURG HWY UNIT 362",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOORESVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28123-2016",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "616-881-6262",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/26/2008",
    "LastUpdateDate": "04/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "2699",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}