NPI Code Detail JSON Logo

1013537836 NPI number — GOLDEN MEND WELLNESS AND COUNSELING

NPI Number: 1013537836
Health Care Provider/Practitioner: GOLDEN MEND WELLNESS AND COUNSELING

Information about “1013537836” NPI (GOLDEN MEND WELLNESS AND COUNSELING) exists in 1013537836 in HTML format HTML  |  1013537836 in plain Text format TXT  |  1013537836 in PDF (Portable Document Format) PDF  |  1013537836 in an XML format XML  formats.

NPI Number : 1013537836 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013537836",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GOLDEN MEND WELLNESS AND COUNSELING",
    "LastName": null,
    "FirstName": null,
    "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": "2560 NEW TOWN DR APT 310",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUN PRAIRIE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53590-7082",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-217-1262",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "122 E OLIN AVE STE 220",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MADISON",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53713-1482",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-729-8696",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/22/2020",
    "LastUpdateDate": "11/08/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GRANTMAN",
    "AuthorizedOfficialFirstName": "JESSICA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "608-729-8696",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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