NPI Code Detail JSON Logo

1043008071 NPI number — FRESH START COUNSELING LLC

NPI Number: 1043008071
Health Care Provider/Practitioner: FRESH START COUNSELING LLC

Information about “1043008071” NPI (FRESH START COUNSELING LLC) exists in 1043008071 in HTML format HTML  |  1043008071 in plain Text format TXT  |  1043008071 in PDF (Portable Document Format) PDF  |  1043008071 in an XML format XML  formats.

NPI Number : 1043008071 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043008071",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FRESH START COUNSELING LLC",
    "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": "1791 STATE ROUTE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WYOMING",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14591",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "585-409-6357",
    "MailingAddressFaxNumber": "585-409-6357",
    "FirstLinePracticeLocationAddress": "114 LIBERTY ST # 4",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BATAVIA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14020-3533",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "585-318-6257",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/29/2025",
    "LastUpdateDate": "04/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PRATT",
    "AuthorizedOfficialFirstName": "JUDITH",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "SOLE MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMSW",
    "AuthorizedOfficialTelephoneNumber": "585-318-7264",
    "Taxonomies": {
      "Taxonomy": {
        "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."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.