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1053546010 NPI number — JANE D. BARKER LPC, ICADC

NPI Number: 1053546010
Health Care Provider/Practitioner: JANE D. BARKER LPC, ICADC

Information about “1053546010” NPI (JANE D. BARKER LPC, ICADC) exists in 1053546010 in HTML format HTML  |  1053546010 in plain Text format TXT  |  1053546010 in PDF (Portable Document Format) PDF  |  1053546010 in an XML format XML  formats.

NPI Number : 1053546010 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053546010",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARKER",
    "FirstName": "JANE",
    "MiddleName": "D.",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LPC, ICADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BARKER",
    "OtherFirstName": "JANE",
    "OtherMiddleName": "CRAIG",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "TX COUNSELOR",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "903 NORTH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NACOGDOCHES",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75961-4479",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "936-615-7731",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "903 NORTH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NACOGDOCHES",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75961-4479",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "936-615-7731",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/20/2009",
    "LastUpdateDate": "07/28/2010",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "2056 CERTIFICATION #",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "1807",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "120328 CERT.",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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