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1003255696 NPI number — TRACY M MCDONALD LPCC

NPI Number: 1003255696
Health Care Provider/Practitioner: TRACY M MCDONALD LPCC

Information about “1003255696” NPI (TRACY M MCDONALD LPCC) exists in 1003255696 in HTML format HTML  |  1003255696 in plain Text format TXT  |  1003255696 in PDF (Portable Document Format) PDF  |  1003255696 in an XML format XML  formats.

NPI Number : 1003255696 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003255696",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCDONALD",
    "FirstName": "TRACY",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOHNS",
    "OtherFirstName": "TRACY",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "177 LES GILREATH ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STEARNS",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "42647",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "90 MEDICAL LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WHITLEY CITY",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "42653-4216",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "606-376-2466",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/18/2013",
    "LastUpdateDate": "05/11/2021",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "239923",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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