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1023649910 NPI number — INTEGRATIVE COUNSELING, PLLC

NPI Number: 1023649910
Health Care Provider/Practitioner: INTEGRATIVE COUNSELING, PLLC

Information about “1023649910” NPI (INTEGRATIVE COUNSELING, PLLC) exists in 1023649910 in HTML format HTML  |  1023649910 in plain Text format TXT  |  1023649910 in PDF (Portable Document Format) PDF  |  1023649910 in an XML format XML  formats.

NPI Number : 1023649910 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023649910",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INTEGRATIVE 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": "3023 MORNINGBIRD LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CASTLE ROCK",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80109-3942",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-988-4293",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3023 MORNINGBIRD LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CASTLE ROCK",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80109-3942",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-988-4293",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/29/2020",
    "LastUpdateDate": "02/01/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MARTZ",
    "AuthorizedOfficialFirstName": "HEATHER",
    "AuthorizedOfficialMiddleName": "CAMERON",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "720-988-4293",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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