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1104953645 NPI number — KATE K GREENWAY LPC CHT MS COUNSELIN

NPI Number: 1104953645
Health Care Provider/Practitioner: KATE K GREENWAY LPC CHT MS COUNSELIN

Information about “1104953645” NPI (KATE K GREENWAY LPC CHT MS COUNSELIN) exists in 1104953645 in HTML format HTML  |  1104953645 in plain Text format TXT  |  1104953645 in PDF (Portable Document Format) PDF  |  1104953645 in an XML format XML  formats.

NPI Number : 1104953645 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104953645",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GREENWAY",
    "FirstName": "KATE",
    "MiddleName": "K",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LPC CHT MS COUNSELIN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KAUFMAN",
    "OtherFirstName": "KATE",
    "OtherMiddleName": "S",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1035 W GLEN OAKS LN",
    "SecondLineMailingAddress": "#10",
    "MailingAddressCityName": "MEQUON",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53092-3392",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "262-240-0299",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1035 W GLEN OAKS LN",
    "SecondLinePracticeLocationAddress": "#10",
    "PracticeLocationAddressCityName": "MEQUON",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53092-3392",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "262-240-0299",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/28/2007",
    "LastUpdateDate": "01/23/2014",
    "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": "5193-125",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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