1043460272 NPI number — JESSICA R CUTENESE N.C.C., L.P.C.

NPI Number: 1043460272
Health Care Provider/Practitioner: JESSICA R CUTENESE N.C.C., L.P.C.

NPI Number : 1043460272 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043460272",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CUTENESE",
    "FirstName": "JESSICA",
    "MiddleName": "R",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "N.C.C., L.P.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "410 S MAPLE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENSBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15601-3221",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "724-433-8978",
    "MailingAddressFaxNumber": "724-836-6197",
    "FirstLinePracticeLocationAddress": "410 S MAPLE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15601-3221",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "724-433-8978",
    "PracticeLocationAddressFaxNumber": "724-836-6197",
    "EnumerationDate": "09/24/2008",
    "LastUpdateDate": "09/24/2008",
    "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": "PC004090",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}