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1023258449 NPI number — NICOLE ROMANA CLARIZIO LCPC

NPI Number: 1023258449
Health Care Provider/Practitioner: NICOLE ROMANA CLARIZIO LCPC

Information about “1023258449” NPI (NICOLE ROMANA CLARIZIO LCPC) exists in 1023258449 in HTML format HTML  |  1023258449 in plain Text format TXT  |  1023258449 in PDF (Portable Document Format) PDF  |  1023258449 in an XML format XML  formats.

NPI Number : 1023258449 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023258449",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CLARIZIO",
    "FirstName": "NICOLE",
    "MiddleName": "ROMANA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KOSTAKEN",
    "OtherFirstName": "NICOLE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "139 N WILMETTE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTMONT",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60559-1730",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-567-0516",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6300 KINGERY HWY STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILLOWBROOK",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60527-2250",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "815-469-1500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/25/2009",
    "LastUpdateDate": "07/29/2020",
    "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": "178005304",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "180007600",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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