NPI Code Detail JSON Logo

1003785460 NPI number — ELISABETH HEUSINGFELD

NPI Number: 1003785460
Health Care Provider/Practitioner: ELISABETH HEUSINGFELD

Information about “1003785460” NPI (ELISABETH HEUSINGFELD) exists in 1003785460 in HTML format HTML  |  1003785460 in plain Text format TXT  |  1003785460 in PDF (Portable Document Format) PDF  |  1003785460 in an XML format XML  formats.

NPI Number : 1003785460 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003785460",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HEUSINGFELD",
    "FirstName": "ELISABETH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 6768",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSON",
    "MailingAddressStateName": "WY",
    "MailingAddressPostalCode": "83002-6768",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "307-413-5717",
    "MailingAddressFaxNumber": "307-413-5717",
    "FirstLinePracticeLocationAddress": "389 ADAMS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AFTON",
    "PracticeLocationAddressStateName": "WY",
    "PracticeLocationAddressPostalCode": "83110-5056",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "307-885-9883",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/03/2025",
    "LastUpdateDate": "11/03/2025",
    "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": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TS0200X",
          "TaxonomyName": "School Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.