NPI Code Detail JSON Logo

1013544808 NPI number — COMPASS MENTAL HEALTH COUNSELING PLLC

NPI Number: 1013544808
Health Care Provider/Practitioner: COMPASS MENTAL HEALTH COUNSELING PLLC

Information about “1013544808” NPI (COMPASS MENTAL HEALTH COUNSELING PLLC) exists in 1013544808 in HTML format HTML  |  1013544808 in plain Text format TXT  |  1013544808 in PDF (Portable Document Format) PDF  |  1013544808 in an XML format XML  formats.

NPI Number : 1013544808 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013544808",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "SOM MEDICAL PRACTICE PLLC",
    "ParentOrgTIN": null,
    "OrgName": "COMPASS MENTAL HEALTH COUNSELING PLLC",
    "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": "PO BOX 1633",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NIAGARA UNIVERSITY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14109-1633",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-341-9258",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3117 MILITARY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NIAGARA FALLS",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14304-4813",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-341-9258",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/24/2020",
    "LastUpdateDate": "03/24/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MILLER",
    "AuthorizedOfficialFirstName": "MELODY",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "MENTAL HEALTH COUNSELOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMHC",
    "AuthorizedOfficialTelephoneNumber": "716-524-1311",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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