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1033364724 NPI number — MATTHEW CLEM MCGHEE MS, LCPC

NPI Number: 1033364724
Health Care Provider/Practitioner: MATTHEW CLEM MCGHEE MS, LCPC

Information about “1033364724” NPI (MATTHEW CLEM MCGHEE MS, LCPC) exists in 1033364724 in HTML format HTML  |  1033364724 in plain Text format TXT  |  1033364724 in PDF (Portable Document Format) PDF  |  1033364724 in an XML format XML  formats.

NPI Number : 1033364724 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033364724",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCGHEE",
    "FirstName": "MATTHEW",
    "MiddleName": "CLEM",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MS, LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "103 W 23RD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURG",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66762-2832",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "620-231-1708",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "710 W 8TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT SCOTT",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66701-2404",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "620-223-8590",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/21/2008",
    "LastUpdateDate": "08/10/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "2007025935",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "LCPC780",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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